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Individual

MS. KIMBERLY ANN MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.O.T.A

Contact information

Practice address
3400 W COMMUNITY DR, MUNCIE, IN 47304-5459
(765) 289-2273
Mailing address
7941 N ROYERTON PARK DR, MUNCIE, IN 47303-9379
(765) 748-8445

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001079A
IN

Other

Enumeration date
04/17/2007
Last updated
07/08/2007
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