Individual
KOURTNEY MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
127 DECKER DR, WALDEN, NY 12586-2267
(845) 863-6178
Mailing address
127 DECKER DR, WALDEN, NY 12586-2267
(845) 863-6178
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
008557
NY
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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