Individual
ANICHA MILLER-MALLOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
147 VISTA DEL MONTE, LOS GATOS, CA 95030-6335
(408) 358-0201
Mailing address
1005 BONITA AVE UNIT B, MOUNTAIN VIEW, CA 94040-3107
(443) 655-6115
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
19803
CA
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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