Individual
KEVIN JOHN MILLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
725 S INTERSTATE 35 E STE 188, DENTON, TX 76205-8154
(940) 222-3800
Mailing address
15841 MIRASOL DR, FORT WORTH, TX 76177-2135
(508) 410-0081
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2158558
TX
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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