| NPI | 1821596958 |
|---|---|
| Former Name | ELLISON RACHEL MCMILLAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 0016197) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 294317) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2022-05-19 |