Individual
MRS. JENNA MEADS MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L, CLT, PCC
Contact information
Practice address
208 HASTINGS LN, ELIZABETH CITY, NC 27909-3324
(252) 338-4066
(252) 338-4069
Mailing address
104 CENTER CROSS DR, ELIZABETH CITY, NC 27909-5176
(252) 340-4774
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
8165
NC
Other
Enumeration date
01/29/2012
Last updated
06/11/2020
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