Individual
MS. CARLA S MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L M T
Contact information
Practice address
839 S MCCORD RD, HOLLAND, OH 43528-8746
(419) 205-1226
Mailing address
10715 OLD STATE LINE RD, SWANTON, OH 43558-9694
(419) 205-1226
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33 014953
OH
Other
Enumeration date
10/25/2009
Last updated
10/25/2009
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