Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lisa Anne Miller, OTR/L

Individual provider Pediatric Occupational Therapist · NPI 1104101815

Lisa Anne Miller, OTR/L is a Pediatric Occupational Therapist in Edwardsville, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2011
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

5944 Wooded Estates Ln
Edwardsville, IL 62025-5811
Phone: (618) 409-8073
Fax: (618) 692-0942
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 056009534 (IL)

Record details

NPI number1104101815
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedOctober 13, 2011
Last updated in NPPESOctober 13, 2011

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