Healthcare Provider Details

I. General information

NPI: 1053456277
Provider Name (Legal Business Name): CORTNEY V MILLS OT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1640 JESSE JEWELL PARKWAY SE STE 1
GAINESVILLE GA
30501-2613
US

IV. Provider business mailing address

1640 JESSE JEWELL PARKWAY SE STE 1
GAINESVILLE GA
30501-2613
US

V. Phone/Fax

Practice location:
  • Phone: 770-536-9300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number002882
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: