Individual
SHANNON MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1159 E M 21 STE A, OWOSSO, MI 48867-9037
(989) 607-0070
Mailing address
10036 WILKINSON RD, OVID, MI 48866-9500
(517) 285-2210
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202010260
MI
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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