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1740054782
PHILLIP MILLAN
FORT WORTH, TX
NPI
1740054782
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2157358)
Enumeration Date
2023-11-09
Last Update Date
2023-11-09
Business Address
PHILLIP MILLAN PTA
3645 N BEACH ST
FORT WORTH, TX 76137-3242
Phone number: 817-759-0004
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Mailing Address
PHILLIP MILLAN PTA
8500 HARWOOD RD APT 1224
NORTH RICHLAND HILLS, TX 76180-0422
Phone number: 409-622-1380
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