Individual
MRS. PHYLLIS M MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
402 W 1ST ST, ADRIAN, MO 64720-9277
(816) 297-2107
Mailing address
26308 S HICKORY TRL, HARRISONVILLE, MO 64701-1671
(816) 380-3389
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
003822
MO
Other
Enumeration date
03/03/2010
Last updated
03/03/2010
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