Individual
AMANDA V MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, LOTR
Contact information
Practice address
2800 GAUSE BLVD E, SUITE A, SLIDELL, LA 70461-4247
(985) 643-4263
(985) 643-4774
Mailing address
2800 GAUSE BLVD E, SUITE A, SLIDELL, LA 70461-4247
(985) 643-4263
(985) 643-4774
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1078487
LA
Other
Enumeration date
01/24/2006
Last updated
11/28/2007
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