Individual
KYLIE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 N EDWARD ST, DECATUR, IL 62526-4163
(217) 876-2600
Mailing address
3391 HILLTOP DR, CLINTON, IL 61727-2795
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.010710
IL
225X00000X
Occupational Therapist
2014028108
MO
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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