Individual
JAMES S MCMILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
65 COMMUNITY RD, SUITE F, TALLMADGE, OH 44278-2357
(330) 633-3680
(330) 633-3675
Mailing address
174 CURRIE HALL PKWY, SUITE C, KENT, OH 44240-4387
(330) 548-0080
(330) 548-0088
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT10203
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT10203
OHIO, OT, PT, ATC BOARD
OH
Enumeration date
10/28/2005
Last updated
02/02/2009
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