Individual
MRS. BROOKE LYNN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2220 S WALDRON RD, FORT SMITH, AR 72903-3733
(479) 434-2371
(479) 434-2009
Mailing address
2220 S WALDRON RD, FORT SMITH, AR 72903-3733
(479) 434-2371
(479) 434-2009
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1705
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OT-A1705
—
AR
Enumeration date
03/26/2021
Last updated
03/26/2021
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