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Individual
JUSTIN BRETT MILLER
Active
Individual
JUSTIN BRETT MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31007323A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31007323A
INDIANA BOARD OF OCCUPATIONAL THERAPY
IN
Enumeration date
03/10/2021
Last updated
03/10/2021
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