DR. David Mickelsen, PT

NPI #1073222006 in Lincoln, California

Provider Information

NPI Number: 1073222006
Entity Type: Individual
Name: DR. David Mickelsen, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Nov 17, 2022
Last Updated: Nov 17, 2022

Practice Location

Address: 531 N ST
City: Lincoln
State: California
ZIP Code: 95648-1523
Phone: (321) 362-8794

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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