Individual
MISS ELLEN CHRISTINE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
600 PEMBERTON BROWNS-MILLS ROAD, PEMBERTON, NJ 08068
(877) 896-3660
Mailing address
44 CHERRY CIR, BLACKWOOD, NJ 08012-4668
(856) 227-7707
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09066400
NJ
224Z00000X
Occupational Therapy Assistant
OP005679
PA
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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