Individual
GILDA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3945 PEACH ORCHARD RD LOT 11A, DALZELL, SC 29040-8316
(803) 464-4998
Mailing address
3945 PEACH ORCHARD RD LOT 11A, DALZELL, SC 29040-8316
(803) 464-4998
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2327
SC
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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