Individual
KALLIE LAUREL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
620 N LAKE AVE, PASADENA, CA 91101-1220
(626) 793-7350
Mailing address
1029 MIRA MAR AVE APT 8, LONG BEACH, CA 90804-6724
(504) 813-0956
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
22450
CA
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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