Individual
GRACELYNN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
8599 N 32ND ST STE 104, RICHLAND, MI 49083-8570
(269) 203-7394
(269) 359-3710
Mailing address
6866 120TH AVE, FENNVILLE, MI 49408-9759
(269) 203-7394
(269) 359-3710
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202010334
MI
Other
Enumeration date
11/13/2025
Last updated
11/13/2025
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