Individual
MICHAEL NILES MILICIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9500 EUCLID AVENUE, CLEVLEAND, OH 44195
(216) 905-7381
Mailing address
36675 GARRETT'S COVE DRIVE, EASTLAKE, OH 44095
(216) 905-7381
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT4630
OH
Other
Enumeration date
03/31/2020
Last updated
03/31/2020
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