Individual
SHELLEY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
305 NE LOOP 820, BUSINESS TOWER 1 SUITE 200, HURST, TX 76053-7209
(817) 292-8787
(817) 789-6849
Mailing address
1701 HIGHWAY 180 W APT 1304, MINERAL WELLS, TX 76067-8277
(940) 452-4904
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213294
TX
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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