Individual
TAYLOR MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
121 S CAMBRIDGE ST, NINETY SIX, SC 29666-1149
(803) 493-8028
Mailing address
823 S CHURCH ST APT 1438, GREENVILLE, SC 29601-4749
(803) 493-8028
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5195
SC
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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