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Individual

STEPHANIE MILLER N MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1750 N UNIVERSITY DR STE 105, CORAL SPRINGS, FL 33071-6075
(954) 356-2878
Mailing address
8100 SW 22ND ST APT A109, NORTH LAUDERDALE, FL 33068-5029
(054) 544-7822

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA15346
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OTA15436
BOARD OF OCCUPATIONAL THERAPY
FL
Enumeration date
03/14/2019
Last updated
03/14/2019
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