Individual
LARRY ERNEST MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1715 MARTIN DR, WEATHERFORD, TX 76086-6738
(817) 458-3100
Mailing address
183 OVERTON RIDGE CIR, WEATHERFORD, TX 76088-7847
(601) 754-9339
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
TX
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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