Individual
KRISTI MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
379 PINEHAVEN STREET EXT, LAURENS, SC 29360-2672
(864) 984-6584
Mailing address
95 AUSTIN DR, ABBEVILLE, SC 29620-5259
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1919A
SC
Other
Enumeration date
06/29/2011
Last updated
06/29/2011
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