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NPI Code Detail

MEDICARE: BRANDON MICHAEL MILLER OT

MEDICARE: BRANDON MICHAEL MILLER OT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist111852TX

General Provider Information

NPI Number : 1710259205
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRANDON MICHAEL MILLER OT
Provider Business Mailing Address
First Line : 16719 SIR WILLIAM DR
Second Line :
City : SPRING
State : TX
Zip : 77379-7433
Country : US
Telephone Number : 713-820-2365
Fax Number :
Provider Business Practice Location Address
First Line : 9505 NORTHPOINTE BLVD
Second Line :
City : SPRING
State : TX
Zip : 77379-3799
Country : US
Telephone Number : 877-381-2435
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2012
Last Update Date : 02/03/2012

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Directions to “ BRANDON MICHAEL MILLER OT” Practice Location

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