Individual
EMILY MCMILLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
12636 WICKER AVE, CEDAR LAKE, IN 46303
(219) 801-7777
(219) 801-7677
Mailing address
1841 E SUMMIT ST, CROWN POINT, IN 46307-2768
(219) 801-7777
(219) 801-7677
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05014889A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05014889A
INDIANA PROFESSIONAL LICENSING AGENCY PHYSICAL THERAPY BOARD
IN
Enumeration date
12/14/2022
Last updated
12/14/2022
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