Individual
MRS. LISA ELAINE MILLIKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
11490 STECK RD, BROOKVILLE, OH 45309-9372
(937) 424-9077
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA05789
OH
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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