Individual
KENT EDWARD MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2460 MARSH LN, PLANO, TX 75093-1612
(214) 731-5955
Mailing address
2460 MARSH LN, PLANO, TX 75093-1612
(214) 731-5955
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212039
TX
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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