Organization
REVOLUTION HUMAN PHYSICAL THERAPY AND EDUCATION LLC
Active
Other names
Revolution Human Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK LOUIS MILLIGAN PT, DPT (CEO)
(303) 523-2441
Entity
Organization
Contact information
Practice address
3310 W BRAKER LN STE 300-918, AUSTIN, TX 78758-7853
(303) 523-2441
Mailing address
3310 W BRAKER LN STE 300-918, AUSTIN, TX 78758-7853
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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