Alicia Marie Mikulski, LAT, ATC
NPI #1629624754 in Bourbonnais, Illinois
Provider Information
- NPI Number
- 1629624754
- Entity Type
- Individual
- Name
- Alicia Marie Mikulski, LAT, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- LAT, ATC
- Enumeration Date
- Aug 14, 2019
- Last Updated
- Aug 14, 2019
Practice Location
- Address
- 1 UNIVERSITY AVE
- City
- Bourbonnais
- State
- Illinois
- ZIP Code
- 60914-2345
- Phone
- (815) 928-5415
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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