Individual
MS. MARY A MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
12 SPRUCE ST STE 3, AUGUSTA, ME 04330-5204
(207) 441-0019
Mailing address
12 SPRUCE ST STE 3, AUGUSTA, ME 04330-5204
(207) 441-0019
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OA2557
ME
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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