Individual
LILLIAN RAYE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2911 LONGVIEW DR, JONESBORO, AR 72401
(870) 336-0238
(870) 336-0239
Mailing address
221 LA VISTA RD, STEELE, MO 63877-1333
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A2082
AR
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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