Individual
MS. ASHLEY H MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3747 W MAHOGANY DR, FAYETTEVILLE, AR 72704-7079
(501) 412-6384
Mailing address
3747 W MAHOGANY DR, FAYETTEVILLE, AR 72704-7079
(501) 412-6384
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTR1865
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152356721
—
AR
Enumeration date
08/31/2006
Last updated
05/22/2012
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