Individual
MICHELE SELON MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
153 GLEASON CV, SANFORD, FL 32773
(407) 781-7714
Mailing address
153 GLEASON CV, SANFORD, FL 32773
(407) 781-7714
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
OT12570
FL
225XP0200X
Pediatric Occupational Therapist
OT12570
FL
Other
Enumeration date
07/04/2007
Last updated
05/07/2015
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