NPI 1235792490

Shontae Latrice Miller

Practitioner Recreation Therapist Detroit, MI

Practice location

Address: 19733 Annchester Rd, Detroit, MI 48219-2191
Phone: (248) 238-0426

Registered specialties

Recreation Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X Licence 80381

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Registry record

NPI: 1235792490
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Apr 2019
Record last updated: 15 Apr 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.