Healthcare Provider Details

I. General information

NPI: 1073945853
Provider Name (Legal Business Name): MEGHAN ELIZABETH MILLER OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2013
Last Update Date: 10/27/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 1ST ST NE 9TH FLOOR
WASHINGTON DC
20002-3361
US

IV. Provider business mailing address

682 4TH ST NE
WASHINGTON DC
20002-4906
US

V. Phone/Fax

Practice location:
  • Phone: 202-442-4800
  • Fax:
Mailing address:
  • Phone: 585-750-6290
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT010000934
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberP89679
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: