Individual
MRS. PATRICIA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
111 HUMPHREY LN, WEST SPRINGFIELD, MA 01089-2215
(413) 733-1036
Mailing address
111 HUMPHREY LN, WEST SPRINGFIELD, MA 01089-2215
(413) 733-1036
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1462
MA
Other
Enumeration date
03/01/2014
Last updated
03/01/2014
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