Individual
KRISTEN EVE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
20 PINE ST, BROADALBIN, NY 12025-3128
(518) 954-2645
Mailing address
43 FIRST AVE, BROADALBIN, NY 12025-2149
(518) 883-4757
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
002152-1
NY
Other
Enumeration date
02/06/2015
Last updated
02/06/2015
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