Individual
MS. LISA JOYCE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
16044 COUNTY ROAD 165, TYLER, TX 75703-7302
(903) 526-5599
Mailing address
207 BOIS D ARC DR, BULLARD, TX 75757-5015
(972) 768-3892
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209060
TX
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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