Individual
DAWNA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 MERCER AVE, DECATUR, IN 46733-2303
(260) 724-2145
(260) 728-3838
Mailing address
1100 MERCER AVE, DECATUR, IN 46733-2303
(260) 724-2145
(260) 728-3838
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001152A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100268270A
—
IN
01
—
1689696148
NPI #
IN
Enumeration date
02/18/2016
Last updated
02/18/2016
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