Micah Straight

NPI 1619140837 - Physical Therapist - 225100000X

NPI Details
NPI 1619140837
Gender Male
Enumeration Date 04/09/2008
Last Updated 04/09/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
5 N CREST PL
LAKEWOOD NJ, 08701-2967, US
Phone (267) 471-8277
Fax
Business Location
957 N RANDOLPH ST
PHILA PA, 19123-1407, US
Phone
Fax
Toxanomy
Taxonomy Code 225100000X
License State Pennsylvania
License Number PT013423L
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According to our database, Micah Straight NPI is 1619140837, taxonomy code is 225100000X and license number is PT013423L, license state is located at Pennsylvania. Micah Straight physically located at 5 N Crest Pl, Lakewood NJ, 08701-2967. NPI Number Micah Straight has the Individual type.

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1619140837 NPI number is provided on an as is basis without warranty of any kind. 1619140837 is maintained by the National Plan & Provider Enumeration System. The contents of Micah Straight are for informational purposes only.