JORDAN DAKOTA MILLER

JOHNSON CITY, TN
NPI1154888550
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: TN  6177)
Enumeration Date2019-02-22
Last Update Date2019-02-22
Business Address
-- JORDAN DAKOTA MILLER
2114 E FAIRVIEW AVE
JOHNSON CITY, TN 37601-2858
Phone number: 423-928-6464
Mailing Address
-- JORDAN DAKOTA MILLER
PO BOX 191
JOHNSON CITY, TN 37605-0191
Phone number: 423-928-6464