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NPI Code Detail

MEDICARE: SANDRA MILLER OTR/L

MEDICARE:   SANDRA  MILLER  OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist014853-1NY

General Provider Information

NPI Number : 1063719003
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA MILLER OTR/L
Provider Business Mailing Address
First Line : 1439 ARNOW AVE
Second Line :
City : BRONX
State : NY
Zip : 10469-5528
Country : US
Telephone Number : 646-642-2812
Fax Number :
Provider Business Practice Location Address
First Line : 1439 ARNOW AVE
Second Line :
City : BRONX
State : NY
Zip : 10469-5528
Country : US
Telephone Number : 646-642-2812
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2011
Last Update Date : 04/11/2013

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Directions to “ SANDRA MILLER OTR/L” Practice Location

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