Provider Demographics
NPI:1265423412
Name:MILLER, CLAUDIA L (PT)
Entity type:Individual
Prefix:MS
First Name:CLAUDIA
Middle Name:L
Last Name:MILLER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:903 RAVENNA RD
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:OH
Mailing Address - Zip Code:44240-6154
Mailing Address - Country:US
Mailing Address - Phone:330-677-2279
Mailing Address - Fax:330-673-3200
Practice Address - Street 1:500 S DEPEYSTER ST
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:OH
Practice Address - Zip Code:44240-3697
Practice Address - Country:US
Practice Address - Phone:330-673-2600
Practice Address - Fax:330-673-3200
Is Sole Proprietor?:No
Enumeration Date:2005-11-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH029102251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0992716Medicaid
OH0992716Medicaid