MR. Joseph O.e. Miciano, LMT

NPI #1992916043 in Crestview, Florida

Provider Information

NPI Number: 1992916043
Entity Type: Individual
Name: MR. Joseph O.e. Miciano, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Mechanotherapist
Credential: LMT
Enumeration Date: May 24, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 118 ARAPAHO TRL
City: Crestview
State: Florida
ZIP Code: 32536-9503
Phone: (850) 496-4948

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Mechanotherapist	172M00000X	Primary

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