Individual
MATT MCMILLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
820 E CENTER ST, BLANCHESTER, OH 45107-1310
(937) 783-4949
Mailing address
5796 FARM FIELD DR, MASON, OH 45040-9773
(513) 320-6226
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5549
OH
Other
Enumeration date
01/06/2020
Last updated
01/06/2020
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