Individual
TANAESJA MILLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3124 HIGHLAND PARC PL SE, MARIETTA, GA 30067-2428
(917) 744-5033
Mailing address
3124 HIGHLAND PARC PL SE, MARIETTA, GA 30067-2428
(917) 744-5033
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007633
GA
Other
Enumeration date
09/28/2018
Last updated
07/19/2024
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