Individual
JASON DEAN MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
236 CALDWELL DR, HAZLEHURST, MS 39083-2723
(601) 894-9004
(601) 894-3004
Mailing address
236 CALDWELL DR, HAZLEHURST, MS 39083-2723
(601) 894-9004
(601) 894-3004
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2801
MS
225XP0019X
Physical Rehabilitation Occupational Therapist
OT2801
MS
Other
Enumeration date
12/16/2014
Last updated
12/16/2014
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