Individual
JANA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
206 CHESTNUT LN, NORTH WALES, PA 19454-1304
(717) 758-3899
Mailing address
206 CHESTNUT LN, NORTH WALES, PA 19454-1304
(717) 758-3899
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1036035940001
—
PA
Enumeration date
06/08/2022
Last updated
06/08/2022
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