Individual
DANAE MCMILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4516 ARROWHEAD RIDGE DR SE, RIO RANCHO, NM 87124-5932
(505) 896-4978
Mailing address
113 BIRCH CT SE, RIO RANCHO, NM 87124-8215
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA1427
NM
Other
Enumeration date
09/14/2022
Last updated
09/19/2022
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