Individual
MS. LOIS ELAINE O'MILLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1810 CONCORD LAKE RD, KANNAPOLIS, NC 28083-6434
(704) 933-3781
(704) 932-4106
Mailing address
1810 CONCORD LAKE RD, KANNAPOLIS, NC 28083-6434
(704) 933-3781
(704) 932-4106
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3399
NC
225200000X
Physical Therapy Assistant
PTA 03759
OH
Other
Enumeration date
01/13/2012
Last updated
01/13/2012
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