Individual
LAURA LYNN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1971 N MONROE ST, MONROE, MI 48162-4255
(734) 243-8800
Mailing address
24777 FOXMOOR BLVD, WOODHAVEN, MI 48183-3792
(734) 564-3154
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201002723
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679715825
HOME HEALTH LLC
MI
Enumeration date
08/28/2018
Last updated
08/28/2018
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