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Individual

AMY KATHRYN MCMILLION

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
106 N MAIN ST, GRAHAM, NC 27253
(984) 528-7389
Mailing address
106 N MAIN ST, GRAHAM, NC 27253-2849
(984) 528-7389

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P16105
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P16105
NC STATE LICENSE
NC
Enumeration date
02/10/2016
Last updated
01/21/2019
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