Individual
DELIA BROOKE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
541 DEERFIELD DR, SOUTH ABINGTON TOWNSHIP, PA 18411-1312
(570) 586-2251
Mailing address
541 DEERFIELD DR, SOUTH ABINGTON TOWNSHIP, PA 18411-1312
(570) 586-2251
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC002073L
PA
225XP0200X
Pediatric Occupational Therapist
OC002073L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OC002073L
—
PA
Enumeration date
09/15/2010
Last updated
09/17/2010
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