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Individual

MRS. HELEN JOANN MACMILLAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
5944 CEDAR FERN CT, COLUMBIA, MD 21044-3696
(727) 458-7735
Mailing address
5944 CEDAR FERN CT, COLUMBIA, MD 21044-3696
(727) 458-7735

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15813
MD
225100000X
Physical Therapist
PT21326
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
889278400
FL
Enumeration date
02/20/2007
Last updated
06/25/2010
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