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Ms. Shantia J. Mills
Developmental Disabilities Clinic/Center in Fremont, Ohio
NPI 1841902392

Shantia J. Mills is a Developmental Disabilities Clinic/Center based in Fremont, OH and is specialized in Developmental Disabilities. Shantia J. Mills practices in Fremont, OH. The NPI Number for Shantia J. Mills is 1841902392 and holds a License No. (Ohio).

The current practice location address for Shantia J. Mills is 510 May St, Fremont, OH and can be reached out via phone at 567-314-2132.

Location: 510 May St, Fremont, OH, 43420-2521
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841902392
Provider Name
Shantia J. Mills
Credential
Provider Entity Type
Individual
Gender
Female
Address
510 May St, Fremont, OH, 43420-2521
Phone Number
567-314-2132
Fax Number
Provider Enumeration Date
12/15/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
TK449640 05 OH
institution
Provider Business Practice Location Address Details
Address
510 May St
City
Fremont
State
Ohio
Zip
43420-2521
Phone Number
567-314-2132
Fax Number
person
Provider Business Mailing Address Details
Address
510 May St
City
Fremont
State
Ohio
Zip
43420-2521
Phone Number
567-314-2132
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
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Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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