Individual
HELENE M ILLSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.T.
Contact information
Practice address
43330 N HEAVENLY WAY, ANTHEM, AZ 85086-8113
(623) 398-6897
Mailing address
43330 N HEAVENLY WAY, ANTHEM, AZ 85086-8113
(623) 398-6897
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MT-05236
AZ
Other
Enumeration date
02/03/2009
Last updated
02/03/2009
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