Individual
PHILLIP MILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3645 N BEACH ST, FORT WORTH, TX 76137-3242
(817) 759-0004
Mailing address
8500 HARWOOD RD APT 1224, NORTH RICHLAND HILLS, TX 76180-0422
(409) 622-1380
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2157358
TX
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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