Individual
CASSANDRA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3050 N ORMSBY BLVD, CARSON CITY, NV 89703-8378
(775) 841-4646
Mailing address
PO BOX 2752, STATELINE, NV 89449-2752
(570) 847-6328
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
09-1129
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
210428
STATE LICENSE
TX
Enumeration date
04/20/2009
Last updated
02/16/2023
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