| NPI | 1013232487 | 
|---|---|
| Former Name | MAZEY MILLIGAN | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OR 249877)  | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NM 2640)  | 
| Enumeration Date | 2010-03-29 | 
| Last Update Date | 2021-06-08 |