Individual
SAMANTHA RAE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
410 2ND STREET, BRISTOL, SD 57219-0337
(605) 492-3615
Mailing address
40587 116TH ST, HOUGHTON, SD 57449-6610
(605) 290-5310
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
258A
SD
Other
Enumeration date
01/24/2013
Last updated
01/24/2013
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