Most Relevant Information
Provider Data
| NPI Number: | 1003212804 |
| Provider Name: | GINA MILLER |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 31005770A |
Most Important Dates
| Enumeration Date: | 11/06/2014 |
| Last Updated: | 05/15/2020 |
Provider Practice Location
6317 HIGHWAY 329
CRESTWOOD
KY
400149040
Practice Location Phone/Fax
| Phone: | 5023840910 |
| Fax: |
Provider Mailing Location
12501 CAPTAINS BRIDGE WAY
LOUISVILLE
KY
402231607
Provider Mailing Phone/Fax
| Phone: | 5027672164 |
| Fax: | 3178588715 |