Individual
JAN M MILSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1201 S IH 35, STE 105, ROUND ROCK, TX 78664-6615
(512) 310-7665
(512) 310-9228
Mailing address
1201 S IH 35, STE 105, ROUND ROCK, TX 78664-6615
(512) 310-7665
(512) 310-9228
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
115422
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
094474602
—
TX
Enumeration date
07/30/2013
Last updated
06/13/2016
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