Individual
J. RENEE MCMILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
170 N CENTER ST, ORMOND BEACH, FL 32174-5186
(386) 672-7113
Mailing address
215 14TH ST, HOLLY HILL, FL 32117-2346
(386) 673-6175
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 9396
FL
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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