Individual
LISA M MILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9756 NW 15TH ST, PEMBROKE PINES, FL 33024-4368
(954) 557-5428
Mailing address
9756 NW 15TH ST, PEMBROKE PINES, FL 33024-4368
(954) 557-5428
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA13252
FL
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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