Provider Demographics
NPI:1619177730
Name:MILLS, NADIA (PT)
Entity Type:Individual
Prefix:MISS
First Name:NADIA
Middle Name:
Last Name:MILLS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 E BROADWAY AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON HEIGHTS
Mailing Address - State:PA
Mailing Address - Zip Code:19018-1723
Mailing Address - Country:US
Mailing Address - Phone:215-716-4788
Mailing Address - Fax:
Practice Address - Street 1:348 CAVALIER RD
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33461-1808
Practice Address - Country:US
Practice Address - Phone:610-888-6209
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-18
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT26296225100000X
TX1166490225100000X
PADAPT005111225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist