Individual
JESSICA WOODY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5602 UNIVERSITY AVE, SAN DIEGO, CA 92105-2308
(619) 583-1993
Mailing address
1949 THOMAS AVE, SAN DIEGO, CA 92109-4529
(858) 525-3425
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5541
CA
Other
Enumeration date
11/26/2024
Last updated
11/26/2024
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