Individual
TONI MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6021 W CHEYENNE AVE, LAS VEGAS, NV 89108-4205
(702) 658-9419
(702) 658-9419
Mailing address
PO BOX 27305, PRESCOTT VALLEY, AZ 86312-7305
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0163
AZ
225200000X
Physical Therapy Assistant
A-0571
NV
Other
Enumeration date
02/21/2014
Last updated
02/21/2014
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