Individual
CAROLYN MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 GREENBRIAR LN, WEST GROVE, PA 19390-9485
(484) 459-6093
(484) 459-6093
Mailing address
3 LAURA LN, LINCOLN UNIVERSITY, PA 19352-8927
(484) 459-6093
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OC011606
PA
225X00000X
Occupational Therapist
Primary
OC011606
PA
Other
Enumeration date
12/19/2017
Last updated
12/19/2017
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