Individual
MISS MAGGIE LEE MILNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
13315 N PALMYRA RD, NORTH JACKSON, OH 44451-9776
(330) 360-1338
Mailing address
13315 N PALMYRA RD, NORTH JACKSON, OH 44451-9776
(330) 360-1338
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
02463
CA
225X00000X
Occupational Therapist
Primary
04755
OH
225X00000X
Occupational Therapist
A01941
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04755
OHIO OCCUPATIONAL STATE LICENSURE
OH
01
—
2463
CALIFORNIA OCCUPATIONAL STATE LICENSURE
CA
01
—
A01941
MARYLAND OCCUPATIONAL THERAPY LICENSURE
MD
Enumeration date
02/04/2013
Last updated
02/04/2013
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