Individual
CAROL ANN MILLINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 8TH AVE, UNION GROVE, WI 53182-1063
(262) 878-2788
Mailing address
1506 62ND ST, KENOSHA, WI 53143-4474
(262) 914-7961
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3274-19
WI
Other
Enumeration date
09/05/2022
Last updated
09/05/2022
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