Provider Demographics
NPI:1194574137
Name:MILLER, LIANA CLAIRE (OTR/L, MPH, OTD)
Entity type:Individual
Prefix:MS
First Name:LIANA
Middle Name:CLAIRE
Last Name:MILLER
Suffix:
Gender:F
Credentials:OTR/L, MPH, OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 W FILLMORE ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85003-0013
Mailing Address - Country:US
Mailing Address - Phone:858-652-8229
Mailing Address - Fax:
Practice Address - Street 1:601 W FILLMORE ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85003-0013
Practice Address - Country:US
Practice Address - Phone:858-652-8229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-13
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZOTH-009277225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics