Provider Demographics
NPI:1598935470
Name:MILLER, ANN S (OTR/L,CHT)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:S
Last Name:MILLER
Suffix:
Gender:F
Credentials:OTR/L,CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1460 WASHINGTON RD
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-9647
Mailing Address - Country:US
Mailing Address - Phone:724-228-6330
Mailing Address - Fax:724-228-2256
Practice Address - Street 1:1460 WASHINGTON RD
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-9647
Practice Address - Country:US
Practice Address - Phone:724-228-6330
Practice Address - Fax:724-228-2256
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-06
Last Update Date:2008-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA642844OtherMEDICARE