Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 1138 | OH |
NPI | 1225666845 |
---|---|
Provider Name | Kathleen Ann Miller |
First Address | Akron, OH 44312-4089 |
Second Address | Akron, OH 44312-4089 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2020 |
Last Update Date | 30/03/2020 |