Individual
MAKAYLA LEE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4227 MANOR DR, STROUDSBURG, PA 18360-9451
(570) 992-4172
Mailing address
1230 WHITNEY AVE, EASTON, PA 18045-5640
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP003879
PA
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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