Individual
COLLEEN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 MAPLE AVE, WARWICK, NY 10990-1028
(845) 986-2276
Mailing address
16 MAYBROOK RD, SUITE A, CAMPBELL HALL, NY 10916-2743
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
014653
NY
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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