Individual
MS. LYDIA R MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
308 SAVIN AVE, WEST HAVEN, CT 06516-5805
(203) 932-6411
Mailing address
308 SAVIN AVE, WEST HAVEN, CT 06516-5805
(203) 932-6411
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000870
CT
Other
Enumeration date
12/22/2011
Last updated
12/22/2011
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