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Individual

PHAEDRA NICOLE MILLER

Active
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Individual

PHAEDRA NICOLE MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Taxonomy

Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
10644
CA
225XP0019X
Physical Rehabilitation Occupational Therapist
1789
CO
225XP0019X
Physical Rehabilitation Occupational Therapist
8777
FL
225XP0019X
Physical Rehabilitation Occupational Therapist
990
HI

Other

Enumeration date
11/03/2011
Last updated
11/03/2011
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