Individual
KATHY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1905 W HART RD, BELOIT, WI 53511-2230
(608) 365-7500
(608) 365-7698
Mailing address
1905 W HART RD, BELOIT, WI 53511-2230
(608) 365-7500
(608) 365-7698
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
439-27
WI
Other
Enumeration date
06/05/2013
Last updated
06/05/2013
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