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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LADARIUS MCMILLIAN

Active Sole Proprietor

LADARIUS MCMILLIAN is a Occupational Therapist healthcare provider located in SOUTHAVEN, Mississippi. NPI 1477330777 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · SOUTHAVEN, MS

Registration Details

NPI Number
1477330777
Provider Type
Individual
Gender
Male
NPI Issued
Sep 11, 2023 (2.9499319580094 yrs)
Last Updated
Sep 11, 2023
License
PTA6525 (MS)
Sole Proprietor
Yes

Practice Information

Address
526 COTTONBROOK CV
SOUTHAVEN, MS, 386714708
Browse MS providers · Browse ZIP 38671
Phone
6622750750
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in SOUTHAVEN, MS

Name Credential NPI
MRS. MELISSA D BECK PTA 1710141304
MR. STEVEN BONHAM PTA 1093979148
STACY L HOLDER PTA09 1649554890
MRS. LATOYA YVETTE HARRIS PTA 1760855365
LASHAY SMITH 1043685951
STACY FITCH PTA 1124470182
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.