Individual
COURTNEY CELESTE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4100 S FERDON BLVD, CRESTVIEW, FL 32536-5252
(850) 682-8388
Mailing address
97 LIVE OAK AVE E, DEFUNIAK SPRINGS, FL 32435-2466
(850) 685-5796
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT15152
FL
Other
Enumeration date
09/27/2012
Last updated
09/27/2012
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