Individual
REBEKAH MILER-LYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
553 PROSPECT ST, WOOD RIVER, IL 62095-1752
(618) 419-5516
Mailing address
553 PROSPECT ST, WOOD RIVER, IL 62095-1752
(618) 419-5516
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
04/18/2019
Last updated
04/18/2019
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