Individual
JACQUELINE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L, BCPR
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Mailing address
8846 STURDY DR, SAINT LOUIS, MO 63126-2326
(314) 302-5190
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2007027574
MO
Other
Enumeration date
10/30/2008
Last updated
06/04/2024
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