Individual
DEASIA MONIQUE MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1865 BOLD SPRINGS RD NW, MONROE, GA 30656-4605
(770) 267-8677
Mailing address
70 HIGHOAK DR NE, MARIETTA, GA 30066-4932
(520) 979-6425
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
4333
AL
224Z00000X
Occupational Therapy Assistant
Primary
OTA002107
GA
Other
Enumeration date
11/02/2016
Last updated
11/02/2016
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