Individual
ANTOINETTE MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1631 PARK ROW DR, COLUMBUS, OH 43235-4328
(614) 209-6543
Mailing address
1631 PARK ROW DR, COLUMBUS, OH 43235-4328
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
4962
OH
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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