Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | 9738 | MA |
NPI | 1063641199 |
---|---|
Provider Name | Karen L Miller |
First Address | Westford, MA 01886-3511 |
Second Address | Westford, MA 01886-3511 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2009 |
Last Update Date | 10/07/2009 |