Individual provider · NPI-1

Janelle Miller

Developmental Therapist · Plantation, FL

NPI number1407228042
StatusActive
Last updated in NPPESOct 22, 2015

Details

NPI
1407228042
Entity type
Individual (NPI-1)
Name
Janelle Miller
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 22, 2015
Last updated
Oct 22, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
222Q00000X Developmental TherapistSA 11506FLYes
235Z00000X Speech-Language Pathologist,SA 11506FL

Practice location

7810 Nw 4th St
Plantation, FL 33324-1904

Phone 404-388-8590

Mailing address

7810 Nw 4th St
Plantation, FL 33324-1904

Phone 404-388-8590

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