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Individual
MRS. BERTINA MILES
Active
Individual
MRS. BERTINA MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
01995
MD
225X00000X
Occupational Therapist
Primary
01995
MD
Other
Enumeration date
02/27/2009
Last updated
04/17/2013
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