Individual
JACQUELINE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2004 TIGER PRIDE BLVD, SEDALIA, MO 65301-8601
(660) 851-9200
Mailing address
2004 TIGER PRIDE BLVD, SEDALIA, MO 65301-8601
(660) 851-9200
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2022009593
MO
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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