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Individual

COLTON CHAD MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2500 SONG BIRD CIR, BROWNWOOD, TX 76801-6488
(325) 646-4750
Mailing address
604 N 6TH ST, BANGS, TX 76823-3475
(325) 998-5077

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209884
TX

Other

Enumeration date
08/28/2018
Last updated
08/28/2018
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