Individual
ILA VANMILLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 HOWIE MINE RD, WAXHAW, NC 28173-9715
(704) 243-7640
Mailing address
700 HOWIE MINE RD, WAXHAW, NC 28173-9715
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4804
NC
Other
Enumeration date
02/24/2016
Last updated
02/24/2016
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