Individual
LISA RENEE MILHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
10001 S WESTERN AVE, 204, OKLAHOMA CITY, OK 73139-2997
(405) 691-5434
(405) 692-3703
Mailing address
10001 S WESTERN AVE, 204, OKLAHOMA CITY, OK 73139-2997
(405) 691-5434
(405) 692-3703
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1058
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200083620A
—
OK
Enumeration date
05/20/2006
Last updated
04/20/2010
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