Individual
MICHAEL MILLET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1925 POSSUM HOLLOW RD, SLIDELL, LA 70458-8317
(985) 781-0072
Mailing address
23 KATHLEEN DR, COVINGTON, LA 70433
(985) 351-5459
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
329660
LA
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
329660
LA
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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