LISA ANNE MILLER

EDWARDSVILLE, IL
NPI1104101815
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: IL  056009534)
Enumeration Date2011-10-13
Last Update Date2011-10-13
Business Address
-- LISA ANNE MILLER OTR/L
5944 WOODED ESTATES LN
EDWARDSVILLE, IL 62025-5811
Phone number: 618-409-8073
Mailing Address
-- LISA ANNE MILLER OTR/L
5944 WOODED ESTATES LN
EDWARDSVILLE, IL 62025-5811
Phone number: 618-409-8073
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