Provider Demographics
NPI:1568294635
Name:MILLER, MADISON PAIGE (OTD,OTR)
Entity type:Individual
Prefix:DR
First Name:MADISON
Middle Name:PAIGE
Last Name:MILLER
Suffix:
Gender:F
Credentials:OTD,OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 FAIRVIEW DR
Mailing Address - Street 2:
Mailing Address - City:ELLWOOD CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16117-5012
Mailing Address - Country:US
Mailing Address - Phone:724-674-0482
Mailing Address - Fax:
Practice Address - Street 1:12300 PERRY HWY STE 100
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-8318
Practice Address - Country:US
Practice Address - Phone:724-933-4673
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-16
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist