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Individual

KATELYN PAIGE MILES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1051 JOHNNIE DODDS BLVD STE G, MOUNT PLEASANT, SC 29464-3100
(843) 654-9694
Mailing address
1006 RIVER HAVEN CIR APT K, CHARLESTON, SC 29412-4119
(814) 853-5937

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
6635
SC

Other

Enumeration date
09/14/2022
Last updated
09/14/2022
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