MEDICARE: ALISSA MILLER

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	OT013645	OH

General Provider Information

NPI Number	:	1487596284
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISSA MILLER

Provider Business Mailing Address
First Line	:	10095 ROSEDALE MILFORD CENTER RD
Second Line	:
City	:	IRWIN
State	:	OH
Zip	:	43029-9509
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6352 SCIOTO DARBY RD
Second Line	:
City	:	HILLIARD
State	:	OH
Zip	:	43026-9726
Country	:	US
Telephone Number	:	614-653-8511
Fax Number	:

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

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/08/2026

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Directions to “ ALISSA MILLER ” Practice Location

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