Healthcare Provider Details

I. General information

NPI: 1841757671
Provider Name (Legal Business Name): DARLENE MARIE MILLER M.ED., OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2019
Last Update Date: 02/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 FOOT HILL RD
BEL AIR MD
21014-5352
US

IV. Provider business mailing address

715 FOOT HILL RD
BEL AIR MD
21014-5352
US

V. Phone/Fax

Practice location:
  • Phone: 443-465-0636
  • Fax:
Mailing address:
  • Phone: 443-465-0636
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number02035
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: