Individual
ANNA GRACE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
7205 SHILLING CIR, TEXARKANA, TX 75503-5404
(903) 793-6135
(903) 793-0053
Mailing address
7205 SHILLING CIR, TEXARKANA, TX 75503-5404
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
124162
TX
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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