Individual
MR. TIMOTHY DOUGLAS MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
3001 W BLUE STARR DR, CLAREMORE, OK 74017-2544
(918) 342-1651
Mailing address
25112 S VALLEY DR, CLAREMORE, OK 74019-0253
(918) 289-3360
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1042
OK
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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