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Individual

ASHLEIGH MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
5659 STADIUM DR, KALAMAZOO, MI 49009-1932
(269) 372-0436
(269) 372-0483
Mailing address
5659 STADIUM DR, KALAMAZOO, MI 49009-1932
(269) 372-0436
(269) 372-0483

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5201011034
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5201011034
OCCUPATIONAL THERAPY LICENSE
MI
Enumeration date
12/07/2020
Last updated
12/07/2020
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