Individual
JONI MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
4910 WELLINGTON ST, GREENVILLE, TX 75402-6007
(903) 454-3772
Mailing address
4910 WELLINGTON ST, GREENVILLE, TX 75402-6007
(903) 454-3772
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
208429
TX
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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