Healthcare Provider Details

I. General information

NPI: 1982752606
Provider Name (Legal Business Name): DEBRA SMITH MILLER MS, OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 09/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1397 PARIS DR
FRANKLIN IN
46131-8562
US

IV. Provider business mailing address

1397 PARIS DR
FRANKLIN IN
46131-8562
US

V. Phone/Fax

Practice location:
  • Phone: 812-343-2797
  • Fax: 317-738-9490
Mailing address:
  • Phone: 812-343-2797
  • Fax: 317-738-9490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number31001990A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: