Brett Mickinac
NPI #1679132013 in Wyndmoor, Pennsylvania
Provider Information
- NPI Number
- 1679132013
- Entity Type
- Individual
- Name
- Brett Mickinac
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- Jun 10, 2019
- Last Updated
- Jun 10, 2019
Practice Location
- Address
- 8601 STENTON AVE
- City
- Wyndmoor
- State
- Pennsylvania
- ZIP Code
- 19038-8312
- Phone
- (724) 953-9145
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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