ELSIE PIERCE MILLER

LAKE WALES, FL
NPI1851504286
Former NameELSIE PIERCE RUIZ
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: FL  OTA9861)
Enumeration Date2007-05-08
Last Update Date2007-07-08
Business Address
Mrs. ELSIE PIERCE MILLER COTAL
410 S 11TH ST
LAKE WALES, FL 33853-4203
Phone number: 863-679-6841
Mailing Address
Mrs. ELSIE PIERCE MILLER COTAL
402 MERIDIAN ST
DAVENPORT, FL 33837-3854
Phone number: 863-421-7209