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NPI Code Detail

MEDICARE: MRS. LEEANN CARRIE MILLER OTR

MEDICARE: MRS. LEEANN CARRIE 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
1225X00000XOccupational TherapistOC004777LPA

General Provider Information

NPI Number : 1619172996
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LEEANN CARRIE MILLER OTR
Provider Business Mailing Address
First Line : 1430 GRANITE STATION RD
Second Line :
City : GETTYSBURG
State : PA
Zip : 17325-8342
Country : US
Telephone Number : 717-338-0699
Fax Number :
Provider Business Practice Location Address
First Line : 867 YORK RD
Second Line :
City : GETTYSBURG
State : PA
Zip : 17325-7501
Country : US
Telephone Number : 717-337-3238
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2007
Last Update Date : 07/08/2007

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