Individual
MRS. JACQUELINE COOK MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
190 FOX HOLW, PINEHURST, NC 28374-8549
(910) 692-5311
(910) 695-0122
Mailing address
192 SABRE DR, SANFORD, NC 27332-6500
(919) 258-5782
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2793
NC
Other
Enumeration date
02/07/2008
Last updated
02/07/2008
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