Individual
JESSICA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
217 MAGNETA LOOP, AUBURNDALE, FL 33823-9777
(937) 657-9482
Mailing address
217 MAGNETA LOOP, AUBURNDALE, FL 33823-9777
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
007532
OH
Other
Enumeration date
08/02/2012
Last updated
08/02/2012
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