Individual
MRS. HOLLY MARIE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
804 S MUMAUGH RD, LIMA, OH 45804-3569
(419) 225-9040
(419) 225-9292
Mailing address
804 S MUMAUGH RD, LIMA, OH 45804-3569
(419) 225-9040
(419) 225-9292
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
02988
OH
Other
Enumeration date
12/17/2010
Last updated
12/17/2010
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