Individual
ANNA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
12524 SHORELINE DR APT 205, WELLINGTON, FL 33414
(516) 459-0139
Mailing address
12524 SHORELINE DR APT 205, WELLINGTON, FL 33414-8011
(516) 459-0139
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
1293554
FL
Other
Enumeration date
08/16/2012
Last updated
12/30/2016
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