Individual
KRISTIN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4775 VILLAGE DR, GRAND LEDGE, MI 48837-8107
(989) 640-9427
Mailing address
106 PARK ST, PORTLAND, MI 48875-1318
(989) 640-9427
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202008494
MI
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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