Individual
CRYSTAL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
456 WALNUT WOODS DR, GREENWOOD, IN 46142-7547
(765) 265-4380
Mailing address
456 WALNUT WOODS DR, GREENWOOD, IN 46142-7547
(765) 265-4380
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32002081A
IN
Other
Enumeration date
03/07/2012
Last updated
03/07/2012
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