| NPI | 1699095000 |
|---|---|
| Former Name | BETH ANN MILLAGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 8303) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ND 1318) |
| 225100000X Physical Therapist (Licence: AZ 6259) | |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2020-04-07 |