Individual
MR. MILES VIANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
287 E BLVD, PETERSBURG, VA 23805
(804) 733-1190
Mailing address
183 HARRISON ST, NEW MILFORD, NJ 07646-2629
(973) 967-0473
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
0119-007946
VA
Other
Enumeration date
12/10/2018
Last updated
12/10/2018
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