Individual
JACLYN MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
160 E 56TH ST, NEW YORK, NY 10022-3609
(212) 355-7827
Mailing address
160 E 56TH ST, NEW YORK, NY 10022-3609
(212) 355-7827
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
052453-01
NY
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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