PHILLIP ANTHONY MILLAN

CAMP BULLIS, TX
NPI1235686866
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX  AT7733)
Additional Taxonomies2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL  AL4509)
Enumeration Date2016-09-01
Last Update Date2021-04-02
Business Address
Mr. PHILLIP ANTHONY MILLAN ATC
5425 MCWILLIAMS ROAD BLDG 5425
CAMP BULLIS, TX 78257
Phone number: 210-295-8337
Mailing Address
Mr. PHILLIP ANTHONY MILLAN ATC
11500 FENWAY SOUTH DR
FORT MYERS, FL 33913-8671
Phone number: 816-510-6837