Provider Demographics
NPI:1053861351
Name:MILLER, HEIDI PAMLELA (OTR/L)
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:PAMLELA
Last Name:MILLER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:87 DEVON PARK DR SUITE 210, WAYNE, PA 19087
Mailing Address - Street 2:SUITE 210
Mailing Address - City:WAYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19087
Mailing Address - Country:US
Mailing Address - Phone:484-367-7131
Mailing Address - Fax:
Practice Address - Street 1:87 DEVON PARK DRIVE
Practice Address - Street 2:SUITE 210
Practice Address - City:WAYNE
Practice Address - State:PA
Practice Address - Zip Code:19087
Practice Address - Country:US
Practice Address - Phone:484-367-7131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-11
Last Update Date:2025-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC016211225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
362204OtherNBCOT CERTIFICATION