Individual
KRISTINA MASON MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
85 BLOOMINGROVE DR, TROY, NY 12180-8433
(518) 283-2000
Mailing address
85 BLOOMINGROVE DR, TROY, NY 12180-8433
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
226000000X
Recreational Therapist Assistant
Primary
010552
NY
Other
Enumeration date
03/17/2021
Last updated
03/18/2021
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