Individual
MADISON MAE MILLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9800 OUTER LINCOLN AVE, NEWBURGH, IN 47630-2440
(812) 573-0088
Mailing address
3463 N 1375 W, LINTON, IN 47441-6050
(812) 699-1852
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
IN
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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