Individual
MRS. JENNY MARIE MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
1600 WINCHESTER AVE, MIDDLESBORO, KY 40965-2426
(606) 344-5930
Mailing address
1600 WINCHESTER AVE, MIDDLESBORO, KY 40965-2426
(606) 344-5930
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R4295
KY
Other
Enumeration date
05/22/2011
Last updated
05/22/2011
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