Individual
ABBY JO MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3613 S 13TH ST, SHEBOYGAN, WI 53081-7253
(920) 458-4040
Mailing address
211 NORTH ST APT 307, PLYMOUTH, WI 53073-1952
(262) 483-2959
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
07/08/2017
Last updated
07/08/2017
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