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

Individual provider Occupational Therapist · NPI 1164512406

Mrs. Angelique Clark-Miller, OTR/L is an Occupational Therapist in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2006.

Licensed in
KY
In the registry since
2006
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

1227 Goss Ave
Louisville, KY 40217-1239
Phone: (502) 636-1200
Fax: (502) 636-0351
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence R2290 (KY)

Record details

NPI number1164512406
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedOctober 16, 2006
Last updated in NPPESJuly 8, 2007

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