Raven Miller, COTA/L
NPI #1053985762 in Harrisburg, Pennsylvania
Provider Information
- NPI Number
- 1053985762
- Entity Type
- Individual
- Name
- Raven Miller, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA/L
- Enumeration Date
- May 17, 2021
- Last Updated
- May 17, 2021
Practice Location
- Address
- 6126 BLUE STONE AVE
- City
- Harrisburg
- State
- Pennsylvania
- ZIP Code
- 17112-2352
- Phone
- (717) 608-6706
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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