Doctor Name: | MARK MCMILLEN |
NPI Number: | 1215990429 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT007514L |
Business Practice Address: | 1600 Coraopolis Heights Rd Coraopolis, PA - 151084316 |
Business Phone Number: | 4122697062 |
Business Fax Number: | |
Mailing Address: | 1715 Book Ave, BEAVER FALLS |
State: | PA |
Postal Code: | 150102509 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT007514L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |