Individual
IAN CHRISTOPHER MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
801 N 11TH ST, SAINT LOUIS, MO 63101-1015
(314) 231-3720
Mailing address
3424 SABOURIN DR APT L, SAINT ANN, MO 63074-3361
(636) 751-9800
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2019029030
MO
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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