Provider Demographics
NPI:1942328109
Name:MILEY, BELINDA JO (COTA)
Entity Type:Individual
Prefix:MRS
First Name:BELINDA
Middle Name:JO
Last Name:MILEY
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6790 WHETSTONE DR
Mailing Address - Street 2:
Mailing Address - City:HEBRON
Mailing Address - State:MD
Mailing Address - Zip Code:21830-1147
Mailing Address - Country:US
Mailing Address - Phone:410-749-3772
Mailing Address - Fax:
Practice Address - Street 1:6790 WHETSTONE DR
Practice Address - Street 2:
Practice Address - City:HEBRON
Practice Address - State:MD
Practice Address - Zip Code:21830-1147
Practice Address - Country:US
Practice Address - Phone:410-749-3772
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDAOO156224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant