Individual
MADISON MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1190 E MISSOURI AVE STE 100, PHOENIX, AZ 85014-2719
(602) 393-0520
Mailing address
777 E STELLA LN APT 241, PHOENIX, AZ 85014-0010
(765) 650-1066
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OTH009609
AZ
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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