Individual
MIRANDA MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
611 ABBEY COURT, ORANGE PARK, FL 32073-2269
(904) 508-3304
Mailing address
611 ABBEY CT, ORANGE PARK, FL 32073-2269
(904) 508-3304
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA10093
FL
Other
Enumeration date
11/17/2014
Last updated
11/17/2014
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