Individual
JUSTIN BRETT MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
118 MEDICAL DR, CARMEL, IN 46032-3323
(317) 844-4211
Mailing address
2475 WEBSTER RD SE, CORYDON, IN 47112-7977
(812) 972-9327
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31007323A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31007323A
INDIANA BOARD OF OCCUPATIONAL THERAPY
IN
Enumeration date
03/10/2021
Last updated
03/10/2021
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