Individual
JESSICA MARIE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
6246 RIVINGTON DR, INDIANAPOLIS, IN 46236-8285
(317) 296-4830
Mailing address
12125 E 65TH ST UNIT 36313, INDIANAPOLIS, IN 46236-4613
(317) 654-7702
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004220A
IN
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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