Individual
LISA RUTH MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OMT, RDH
Contact information
Practice address
25746 180TH ST, PAYNESVILLE, MN 56362-3010
(320) 295-1579
Mailing address
25746 180TH ST, PAYNESVILLE, MN 56362-3010
(320) 295-1579
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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