Individual
LISA MACMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6450 S BOSTON ST, GREENWOOD VILLAGE, CO 80111-5336
(303) 224-9455
Mailing address
7171 S LOCUST PL, CENTENNIAL, CO 80112-1500
(203) 233-1781
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8376
CO
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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