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Individual

MR. JEFFERY LEE MILES

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
COTA

Contact information

Practice address
5214 S EAST ST, BUILDING D STE 1, INDIANAPOLIS, IN 46227-1917
(800) 486-4449
(317) 780-3745
Mailing address
5214 S EAST ST, BUILDING D STE 1, INDIANAPOLIS, IN 46227-1917
(800) 486-4449
(317) 780-3745

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32000769A
IN

Other

Enumeration date
11/22/2005
Last updated
07/08/2007
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