Trevor C Miller, CTRS
Recreation Therapist in Vancouver, WA. Individual provider (NPI-1).
NPI number1033736285
StatusActive
Last updated in NPPESJul 2, 2020
Details
- NPI
- 1033736285
- Entity type
- Individual (NPI-1)
- Name
- Mr. Trevor C Miller
- Credential
- CTRS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 2, 2020
- Certification date
- Jul 2, 2020
- Last updated
- Jul 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225800000X | Recreation Therapist | 57392 | – | Yes |
Practice location
1601 E 4th Plain BlvdVancouver, WA 98661-3713
Phone 360-696-4061
Mailing address
1601 E 4th Plain BlvdMailstop V3crs
Vancouver, WA 98661
Phone 360-696-4061
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