| NPI | 1649048273 |
|---|---|
| Former Name | NAOMI MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OK 1746) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OK 193741) |
| Enumeration Date | 2023-12-13 |
| Last Update Date | 2023-12-13 |