Individual
ERIN MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11112
AZ
225100000X
Physical Therapist
Primary
12495
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11112
ARIZONA STATE LICENSE
AZ
01
—
12495
MINNESOTA BOARD OF PHYSICAL THERAPY, STATE LICENSE
MN
Enumeration date
09/02/2014
Last updated
06/19/2023
Update your record
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