Provider Demographics
NPI:1760477459
Name:MILLER, ANDREW FRANCIS (OT)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:FRANCIS
Last Name:MILLER
Suffix:
Gender:M
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 PENN ST STE 103
Mailing Address - Street 2:
Mailing Address - City:HOLLIDAYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:16648-2044
Mailing Address - Country:US
Mailing Address - Phone:814-695-2923
Mailing Address - Fax:814-695-2924
Practice Address - Street 1:310 PENN ST STE 103
Practice Address - Street 2:
Practice Address - City:HOLLIDAYSBURG
Practice Address - State:PA
Practice Address - Zip Code:16648-2044
Practice Address - Country:US
Practice Address - Phone:814-695-2923
Practice Address - Fax:814-695-2924
Is Sole Proprietor?:No
Enumeration Date:2005-09-19
Last Update Date:2011-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC008514225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1684713OtherHIGHMARK
PA1684713OtherHIGHMARK
P98752Medicare UPIN