Individual
MS. PAMELA LYNN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4001 STACK BLVD, MELBOURNE, FL 32901-8500
(321) 676-9011
Mailing address
1101 GRAPEFRUIT RD SE, PALM BAY, FL 32909-4924
(321) 674-9203
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA10062
FL
Other
Enumeration date
03/27/2007
Last updated
01/04/2011
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