Individual
KELLI MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
10618 BRECKENRIDGE DR, LITTLE ROCK, AR 72211-1802
(501) 217-8600
(501) 217-8636
Mailing address
10618 BRECKENRIDGE DR, LITTLE ROCK, AR 72211-1802
(501) 217-8600
(501) 217-8636
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR2729
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
331125
NBCOT
AR
01
—
OTR2729
OCCUPATIONAL THERAPIST LICENSE
AR
Enumeration date
09/18/2014
Last updated
09/18/2014
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