Provider Demographics
NPI:1326349127
Name:MILLS, MARGARET LOUISE (CMT)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:LOUISE
Last Name:MILLS
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 GROVE ST
Mailing Address - Street 2:SUITE 16
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-4051
Mailing Address - Country:US
Mailing Address - Phone:973-744-1112
Mailing Address - Fax:
Practice Address - Street 1:105 GROVE ST
Practice Address - Street 2:SUITE 16
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042-4051
Practice Address - Country:US
Practice Address - Phone:973-744-1112
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-10
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist