Individual
JEFFERY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
4301 CLIME RD N, COLUMBUS, OH 43228-3403
(614) 351-9470
Mailing address
9062 LAKE RIDGE DR, LEWIS CENTER, OH 43035-8607
(567) 686-5491
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
04704
—
Other
Enumeration date
03/02/2012
Last updated
03/02/2012
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