| NPI | 1285006312 |
|---|---|
| Former Name | LEAH ELISE MCMILLION |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 9232) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: HI PT4089) |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2025-04-30 |