Basic Information
| Provider Information | |||||||||
| NPI: | 1437358629 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MILLER | ||||||||
| FirstName: | BARBARA | ||||||||
| MiddleName: | ROSE | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | OTR/L | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7 PENROSE ST | ||||||||
| Address2: | |||||||||
| City: | FAIRMONT | ||||||||
| State: | WV | ||||||||
| PostalCode: | 265548942 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3046857169 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1085 VAN VOORHIS RD | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | MORGANTOWN | ||||||||
| State: | WV | ||||||||
| PostalCode: | 265053497 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3045999250 | ||||||||
| FaxNumber: | 3045999254 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/17/2007 | ||||||||
| LastUpdateDate: | 03/12/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | LPT272 | WV | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.