Individual
KENZIE RENEE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1031 S 13TH ST, DECATUR, IN 46733-1807
(260) 702-0410
(260) 724-7778
Mailing address
4251 LAHMEYER RD, FORT WAYNE, IN 46815-5676
(260) 432-4700
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31007726A
IN
Other
Enumeration date
06/09/2022
Last updated
03/12/2024
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