Individual
KIRBY MILLANES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1253 ALAMEDA AVE, GLENDALE, CA 91201-1323
(818) 573-5337
Mailing address
1253 ALAMEDA AVE, GLENDALE, CA 91201-1323
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10200
CA
Other
Enumeration date
01/10/2015
Last updated
01/10/2015
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