Beth Mickelson, PT, DPT, ATC
NPI #1659677524 in Larkspur, California
Provider Information
- NPI Number
- 1659677524
- Entity Type
- Individual
- Name
- Beth Mickelson, PT, DPT, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist - Orthopedic
- Credential
- PT, DPT, ATC
- Enumeration Date
- Feb 9, 2011
- Last Updated
- Feb 9, 2011
Practice Location
- Address
- 5 BON AIR RD
- Address 2
- SUITE 129
- City
- Larkspur
- State
- California
- ZIP Code
- 94939-1143
- Phone
- (415) 307-0866
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist - Orthopedic — Orthopedic |
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