Individual
MRS. GENELLE LYNN MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1460 N PINAL AVE, CASA GRANDE, AZ 85222-3337
(520) 836-2111
Mailing address
1236 E NIGHTINGALE LN, GILBERT, AZ 85296-6846
(480) 620-4514
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2836
AZ
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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