IndividualActive
Samantha Miller, COTA/L
NPI 1639417769 · Occupational Therapy Assistant · Bristol, SD
Provider details
- NPI number
- 1639417769
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- No
- License
- 258A (SD)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
410 2nd Street
Bristol, SD 57219-0337
Phone: (605) 492-3615
Approximate (ZIP-level) locationGet directions
Mailing address
40587 116th St
Houghton, SD 57449-6610
Registry dates
- Enumerated
- 2013-01-24
- Last updated
- 2013-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.