Individual
CHIPO SHEKINAH MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4509 INVERNESS DR, TYLER, TX 75703-2225
(254) 251-0744
Mailing address
4509 INVERNESS DR, TYLER, TX 75703-2225
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215509
TX
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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