Individual
JESSICA MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
19205 PEARL RD, STRONGSVILLE, OH 44136-6901
(440) 230-3348
Mailing address
706 LYONSWOOD DR, HINCKLEY, OH 44233-9468
(814) 722-8606
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA007605
OH
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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