MEDICARE: REESE 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	225X00000X	Occupational Therapist	09741	MD

General Provider Information

NPI Number	:	1407576325
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REESE MILLER OTR/L

Provider Business Mailing Address
First Line	:	9325 WALTHAM WOODS RD
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21234-1550
Country	:	US
Telephone Number	:	443-799-4431
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 SOUTHERLY RD
Second Line	:
City	:	TOWSON
State	:	MD
Zip	:	21286-8403
Country	:	US
Telephone Number	:	443-275-7904
Fax Number	:

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

Provider Enumeration Date	:	08/31/2022
Last Update Date	:	04/01/2023

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Directions to “ REESE MILLER OTR/L” Practice Location

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