Individual
MRS. TAMARA A MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5505 NEW COPELAND RD, TYLER, TX 75703-3955
(903) 939-2443
Mailing address
157 COUNTY ROAD 3521, BULLARD, TX 75757-7710
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
18975776
TX
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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