Provider Demographics
NPI:1083169866
Name:MCMILLAN, SARA CHRISTINE (PT, DPT, PCS)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:CHRISTINE
Last Name:MCMILLAN
Suffix:
Gender:F
Credentials:PT, DPT, PCS
Other - Prefix:MS
Other - First Name:SARA
Other - Middle Name:CHRISTINE
Other - Last Name:DIEMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3460 TORRANCE BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-5812
Mailing Address - Country:US
Mailing Address - Phone:310-371-8555
Mailing Address - Fax:310-371-4488
Practice Address - Street 1:3460 TORRANCE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-5812
Practice Address - Country:US
Practice Address - Phone:310-371-8555
Practice Address - Fax:310-371-4488
Is Sole Proprietor?:No
Enumeration Date:2016-08-22
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2916492251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics