NPI 1053985762
Raven Miller, COTAL
Practice location
- Address
- 6126 Blue Stone Ave, Harrisburg, PA 17112-2352
- Phone
- (717) 608-6706
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1053985762
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 17 May 2021
- Record last updated
- 17 May 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.