Individual
MRS. KIMBERLY JO MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1350 FOUNTAIN GROVE DR, BRYAN, OH 43506-8733
(419) 633-6250
Mailing address
1350 FOUNTAIN GROVE DR, BRYAN, OH 43506-8733
(419) 633-6250
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-02668
OH
Other
Enumeration date
02/10/2014
Last updated
02/10/2014
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