Individual
KEVIN MIILU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1011 MERIDIAN ST, SAULT SAINTE MARIE, MI 49783-2650
(906) 635-1518
Mailing address
8 BRIAN CIR, KINCHELOE, MI 49788-1214
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502000784
MI
Other
Enumeration date
04/17/2015
Last updated
04/17/2015
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