Individual
KATHRYN MARIE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
28 MONA CT, DEPEW, NY 14043-1517
(716) 444-6698
Mailing address
462 GRIDER ST, BUFFALO, NY 14215-3021
(716) 898-3575
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007139-1
NY
Other
Enumeration date
03/13/2009
Last updated
03/13/2009
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