Individual
JEFFREY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MOT, OTR/L
Contact information
Practice address
1850 MARRON RD, CARLSBAD, CA 92008-1174
(619) 980-4011
Mailing address
1850 MARRON RD, CARLSBAD, CA 92008-1174
(619) 980-4011
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
15746
CA
Other
Enumeration date
11/11/2015
Last updated
11/11/2015
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