Individual
SAMANTHA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15900 US-6, TROY, PA 16947
(570) 297-4111
Mailing address
703 BROUGHTON HOLLOW RD, WELLSBORO, PA 16901-7975
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP008146
PA
Other
Enumeration date
01/25/2019
Last updated
02/15/2019
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