Individual
LATONYA MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 SCENIC DR, GEORGETOWN, TX 78626-7725
(512) 863-9511
Mailing address
1400 WESTINGHOUSE RD APT 1313, GEORGETOWN, TX 78626-2174
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
208584
TX
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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