Individual
MYKAH JAI MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1802 W PARKSIDE LN, PHOENIX, AZ 85027-1322
(602) 943-5472
(602) 943-4936
Mailing address
2134 E BROADWAY RD UNIT 1031, TEMPE, AZ 85282-1775
(509) 901-5444
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/30/2024
Last updated
08/30/2024
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