Healthcare Provider Details

I. General information

NPI: 1730316670
Provider Name (Legal Business Name): ALISON S MILLER OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2009
Last Update Date: 06/18/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81 BIG OAK RD SUITE 101
YARDLEY PA
19067-7801
US

IV. Provider business mailing address

27 CROWN TER
YARDLEY PA
19067-7338
US

V. Phone/Fax

Practice location:
  • Phone: 215-337-9420
  • Fax:
Mailing address:
  • Phone: 215-736-8236
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOC003926L
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: