Individual
LAURA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
161 MARINE ST, SAINT AUGUSTINE, FL 32084-5154
(904) 829-3475
Mailing address
491 GIANNA WAY, SAINT AUGUSTINE, FL 32086-3861
(229) 300-9041
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT12954
FL
Other
Enumeration date
10/29/2025
Last updated
10/29/2025
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