Provider Demographics
NPI:1922355346
Name:MILLER, SARA LEIGHAN (COTA/L)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:LEIGHAN
Last Name:MILLER
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1559 NEW HIGHWAY 52 E
Mailing Address - Street 2:
Mailing Address - City:WESTMORELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37186-2243
Mailing Address - Country:US
Mailing Address - Phone:615-644-5111
Mailing Address - Fax:615-644-3236
Practice Address - Street 1:1559 NEW HIGHWAY 52 E
Practice Address - Street 2:
Practice Address - City:WESTMORELAND
Practice Address - State:TN
Practice Address - Zip Code:37186-2243
Practice Address - Country:US
Practice Address - Phone:615-644-5111
Practice Address - Fax:615-644-3236
Is Sole Proprietor?:No
Enumeration Date:2012-08-06
Last Update Date:2012-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN01095224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant