MEDICARE: MS. MARGARET JOY MILLER OTR

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
1	225X00000X	Occupational Therapist	00000530	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	170985	OTHER	WA	LNI PROVIDER NUMBER

General Provider Information

NPI Number	:	1083816052
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARGARET JOY MILLER OTR

Provider Business Mailing Address
First Line	:	8330 12TH AVE NW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98117-3341
Country	:	US
Telephone Number	:	206-783-2734
Fax Number	:

Provider Business Practice Location Address
First Line	:	6601 220TH ST SW STE 1
Second Line	:
City	:	MOUNTLAKE TERRACE
State	:	WA
Zip	:	98043-2166
Country	:	US
Telephone Number	:	425-775-7274
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2007
Last Update Date	:	07/08/2007

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