Individual
MRS. KIMBERLY SHAE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5110 W SAHARA AVE, LAS VEGAS, NV 89146-3406
(702) 352-9260
Mailing address
2933 BRANCH CREEK CT, LAS VEGAS, NV 89135-2094
(702) 305-5015
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1258
NV
Other
Enumeration date
06/01/2011
Last updated
06/01/2011
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