Healthcare Provider Details

I. General information

NPI: 1033411749
Provider Name (Legal Business Name): LINDSAY MARIE MILLER OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2010
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15655 OH-170
CALCUTTA OH
43920
US

IV. Provider business mailing address

3715 MARLAND HEIGHTS RD
WEIRTON WV
26062-4414
US

V. Phone/Fax

Practice location:
  • Phone: 330-385-7200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number1511
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOT012758
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOC011637
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: