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NPI Code Detail

MEDICARE: MRS. LEIGH ANN MILLER O.T.R.

MEDICARE:  MRS. LEIGH ANN  MILLER  O.T.R.
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 Therapist5050-026WI

General Provider Information

NPI Number : 1639459886
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LEIGH ANN MILLER O.T.R.
Provider Business Mailing Address
First Line : 600 52ND ST
Second Line : STE 240
City : KENOSHA
State : WI
Zip : 53140-3423
Country : US
Telephone Number : 262-925-5000
Fax Number : 262-925-5001
Provider Business Practice Location Address
First Line : 7137 236TH AVE
Second Line : STE 101
City : SALEM
State : WI
Zip : 53168-8975
Country : US
Telephone Number : 262-925-5060
Fax Number : 262-925-5061
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2011
Last Update Date : 05/02/2017

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Directions to “ MRS. LEIGH ANN MILLER O.T.R.” Practice Location

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