Holly Mickley PTA

NPI 1306223193 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1306223193
Gender Female
Enumeration Date 04/30/2015
Last Updated 04/30/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
3030 NW EXPRESSWAY STE 809
OKLAHOMA CITY OK, 73112-5466, US
Phone (405) 917-7160
Fax (405) 917-7161
Business Location
708 COYOTE CT
YUKON OK, 73099-6863, US
Phone
Fax
Toxanomy
Taxonomy Code 225200000X
License State Oklahoma
License Number 1916
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According to our database, Holly Mickley PTA NPI is 1306223193, taxonomy code is 225200000X and license number is 1916, license state is located at Oklahoma. Holly Mickley PTA physically located at 3030 Nw Expressway Ste 809, Oklahoma City OK, 73112-5466. NPI Number Holly Mickley PTA has the Individual type.

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1306223193 NPI number is provided on an as is basis without warranty of any kind. 1306223193 is maintained by the National Plan & Provider Enumeration System. The contents of Holly Mickley PTA are for informational purposes only.