Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 291649 | CA |
NPI | 1083169866 |
---|---|
Provider Name | Dr. Sara Christine Mcmillan |
First Address | Torrance, CA 90503-5812 |
Second Address | Torrance, CA 90503-5812 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2016 |
Last Update Date | 14/06/2021 |