Individual
BECKY MILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1721 ACADEMY LN, HAVERTOWN, PA 19083-1622
(610) 850-2122
Mailing address
1721 ACADEMY LN, HAVERTOWN, PA 19083-1622
(610) 850-2122
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT006084
PA
Other
Enumeration date
01/18/2016
Last updated
01/18/2016
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