Individual
CLIFTON A MILLER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
309 S VAUGHN DR STE F, BRUSLY, LA 70719-2593
(225) 749-2065
(225) 749-2427
Mailing address
1835 WIMPOLE ST, BATON ROUGE, LA 70815-4948
(225) 202-8527
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
303169
LA
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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