BRENT LEE MCMILLAN

BURLEY, ID
NPI1659427953
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-410)
Enumeration Date2007-01-27
Last Update Date2007-07-08
Business Address
Mr. BRENT LEE MCMILLAN P.T.
1501 HILAND AVE PHYSICAL THERAPY
BURLEY, ID 83318-2682
Phone number: 208-677-6530
Mailing Address
Mr. BRENT LEE MCMILLAN P.T.
1180 SYLVAN CIR
BURLEY, ID 83318-3163
Phone number: 208-678-4154