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Individual

ANGELA M MILLARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
7785 N. STATE STREET, REHAB DEPARTMENT, LOWVILLE, NY 13367-1334
(315) 376-5225
Mailing address
6607 OTTER CREEK RD, GLENFIELD, NY 13343-2013

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
030579
NY

Other

Enumeration date
12/03/2019
Last updated
12/03/2019
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