Individual
MAKENZIE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3082 CATON FARM RD, JOLIET, IL 60435-1455
(815) 577-9936
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(866) 370-8206
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056016061
IL
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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