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NPI Code Detail

MEDICARE: CHRISTINA MILLER

MEDICARE: CHRISTINA MILLER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224Z00000XOccupational Therapy AssistantA02150MD
2224Z00000XOccupational Therapy AssistantU2-0001495DE

General Provider Information

NPI Number : 1912300872
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA MILLER
Provider Business Mailing Address
First Line : 1006 MARKET ST
Second Line :
City : POCOMOKE CITY
State : MD
Zip : 21851-1206
Country : US
Telephone Number : 410-957-2252
Fax Number :
Provider Business Practice Location Address
First Line : 1006 MARKET ST
Second Line :
City : POCOMOKE CITY
State : MD
Zip : 21851-1206
Country : US
Telephone Number : 410-957-2252
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2014
Last Update Date : 10/06/2014

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Directions to “ CHRISTINA MILLER ” Practice Location

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