Corey Mills, PTA
Contractor in Sherwood, AR. Individual provider (NPI-1).
NPI number1023314432
StatusActive
Last updated in NPPESFeb 2, 2011
Details
- NPI
- 1023314432
- Entity type
- Individual (NPI-1)
- Name
- Corey Mills
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 2, 2011
- Last updated
- Feb 2, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | PTA 1244 | AR | Yes |
Practice location
9880 Brockington RdSuite 147
Sherwood, AR 72120-3585
Phone 501-944-7819
Mailing address
22 Vista DrLittle Rock, AR 72210-1720
Phone 501-412-3509
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