Individual
RENAE NICOLE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOT, OTD OTR/L, CLT
Contact information
Practice address
4301 WILSON ST, LAWTON, OK 73503-4472
(580) 558-2000
Mailing address
4301 WILSON ST, LAWTON, OK 73503-4472
(910) 922-1285
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
—
—
Other
Enumeration date
02/22/2019
Last updated
06/10/2024
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