Individual
DR. ASA CEDRIC MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
31309 TEMECULA PKWY, SUITE 101, TEMECULA, CA 92592-6826
(951) 302-5213
Mailing address
2061 WILLOW GLEN RD, FALLBROOK, CA 92028-9713
(786) 897-5401
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
39290
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39290
CALIFORNIA PHYSICAL THERAPY BOARD
CA
Enumeration date
05/13/2016
Last updated
05/13/2016
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