Miles Mock, OTR/L

NPI #1366010621 in Anna, Texas

Provider Information

NPI Number: 1366010621
Entity Type: Individual
Name: Miles Mock, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Jun 14, 2021
Last Updated: Jun 14, 2021

Practice Location

Address: 926 BENS DR
City: Anna
State: Texas
ZIP Code: 75409-5102
Phone: (952) 807-2448

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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