Individual
NICOLE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3387 ELLA ST, DECKERVILLE, MI 48427-7720
(989) 751-7243
Mailing address
3755 N GRAF RD, CARO, MI 48723-9782
(989) 751-7243
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008429
MI
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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