Individual
JENNA RAE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1525 W MAUMEE ST # 3, ADRIAN, MI 49221-1899
(517) 265-6007
Mailing address
1525 W MAUMEE ST # 3, ADRIAN, MI 49221-1899
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009155
MI
225X00000X
Occupational Therapist
OT.008941
OH
Other
Enumeration date
08/13/2015
Last updated
08/13/2015
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