Ricky Spencer Miller Jr., OTR/L
Occupational Therapist in Jacksonville, FL. Individual provider (NPI-1).
NPI number1982123154
StatusActive
Last updated in NPPESSep 19, 2017
Details
- NPI
- 1982123154
- Entity type
- Individual (NPI-1)
- Name
- Mr. Ricky Spencer Miller Jr.
- Credential
- OTR/L
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 19, 2017
- Last updated
- Sep 19, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | OT17656 | FL | Yes |
Practice location
3901 University Blvd SJacksonville, FL 32216-4312
Phone 904-345-7336
Mailing address
3901 University Blvd SJacksonville, FL 32216-4312
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