Individual
KELLY SUE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5659 STADIUM DR STE A, KALAMAZOO, MI 49009-1932
(269) 372-0436
Mailing address
1516 JONATHON DR, PORTAGE, MI 49002-6330
(269) 599-6752
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009141
MI
Other
Enumeration date
04/30/2015
Last updated
04/30/2015
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