Individual
JULIE MILNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6875 LAKE FORK RD, ILLIOPOLIS, IL 62539-3546
(217) 486-6097
Mailing address
6875 LAKE FORK RD, ILLIOPOLIS, IL 62539-3546
(217) 486-6097
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160000892
IL
Other
Enumeration date
10/06/2008
Last updated
10/06/2008
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