Individual
MISS MACKENZIE LEE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
801 N 11TH ST, SAINT LOUIS, MO 63101-1015
(314) 231-3720
Mailing address
40 HICKORY BLUFF LN, ARNOLD, MO 63010-2761
(314) 852-9676
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2021003865
MO
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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