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1194579466
SHANNON DALE MILLER
SARASOTA, FL
NPI
1194579466
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: FL OT21162)
Enumeration Date
2024-04-15
Last Update Date
2024-04-15
Business Address
SHANNON DALE MILLER OTR
6400 EDGELAKE DR
SARASOTA, FL 34240-8813
Phone number: 941-921-8600
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Mailing Address
SHANNON DALE MILLER OTR
1906 27TH ST W
BRADENTON, FL 34205-3846
Phone number: 941-705-6650
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