Kenneth Micko P.T.

NPI 1114149382 - Physical Therapist - 225100000X

NPI Details
NPI 1114149382
Gender Male
Enumeration Date 05/03/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
620 STATE ROUTE 35
MIDDLETOWN NJ, 07748-4224, US
Phone (732) 671-9560
Fax
Business Location
620 STATE ROUTE 35
MIDDLETOWN NJ, 07748-4224, US
Phone (732) 671-9560
Fax
Toxanomy
Taxonomy Code 225100000X
License State New Jersey
License Number PT40QA01024400
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According to our database, Mr. Kenneth Micko P.T. NPI is 1114149382, taxonomy code is 225100000X and license number is PT40QA01024400, license state is located at New Jersey. Kenneth Micko P.T. physically located at 620 State Route 35, Middletown NJ, 07748-4224. NPI Number Kenneth Micko P.T. has the Individual type.

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1114149382 NPI number is provided on an as is basis without warranty of any kind. 1114149382 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth Micko P.T. are for informational purposes only.