John Christopher Micena, MSPT

NPI #1023113776 in Massapequa, New York

Provider Information

NPI Number: 1023113776
Entity Type: Individual
Name: John Christopher Micena, MSPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: MSPT
Enumeration Date: Sep 14, 2006
Last Updated: Feb 14, 2008

Practice Location

Address: 200 BOUNDARY AVE
Address 2: SUITE 205
City: Massapequa
State: New York
ZIP Code: 11758
Phone: (516) 586-4766

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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