MEDICARE: MRS. DEBBIE J. 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
1	225XH1200X	Hand Occupational Therapist	OT 2868	CA

General Provider Information

NPI Number	:	1386600146
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DEBBIE J. MILLER OTR/L

Provider Business Mailing Address
First Line	:	62 DONNA WAY
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94605-5002
Country	:	US
Telephone Number	:	510-562-2269
Fax Number	:

Provider Business Practice Location Address
First Line	:	20996 REDWOOD RD
Second Line	:
City	:	CASTRO VALLEY
State	:	CA
Zip	:	94546-5918
Country	:	US
Telephone Number	:	510-537-5819
Fax Number	:	510-537-5819

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

Provider Enumeration Date	:	04/21/2006
Last Update Date	:	07/08/2007

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