Individual
JENNIFER MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
48567 THIRD ST, DOLLAR BAY, MI 49922-0645
(906) 523-5619
Mailing address
PO BOX 645, DOLLAR BAY, MI 49922-0645
(906) 523-5619
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008794
MI
Other
Enumeration date
05/12/2014
Last updated
05/12/2014
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