Individual
KATY MCMILLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1000 E LIONS CLUB DR, ROLLA, MO 65401-4356
(573) 206-6775
Mailing address
567 NEFF RD, LEASBURG, MO 65535-8181
(573) 205-6775
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2019005375
MO
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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