Most Relevant Information
Provider Data
| NPI Number: | 1003462995 |
| Provider Name: | ASHLEIGH NICOLE MILING |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 5202008534 |
Most Important Dates
| Enumeration Date: | 08/15/2019 |
| Last Updated: | 08/15/2019 |
Provider Practice Location
3000 MONROE AVE NE
GRAND RAPIDS
MI
495053313
Practice Location Phone/Fax
| Phone: | 8447117986 |
| Fax: |
Provider Mailing Location
3000 MONROE AVE NE
GRAND RAPIDS
MI
495053313
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |