Individual
CRAIG J. MILLHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
611 W MAIN ST, FREDERICKTOWN, MO 63645-1111
(573) 783-1092
Mailing address
PO BOX 590, JACKSON, MO 63755-0590
(573) 243-9221
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
R0220
MO
Other
Enumeration date
05/03/2010
Last updated
05/03/2010
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