KENNETH MICKO

MIDDLETOWN, NJ
NPI1114149382
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NJ  PT40QA01024400)
Enumeration Date2007-05-03
Last Update Date2007-07-08
Business Address
Mr. KENNETH MICKO P.T.
620 STATE ROUTE 35
MIDDLETOWN, NJ 07748-4224
Phone number: 732-671-9560
Mailing Address
Mr. KENNETH MICKO P.T.
620 STATE ROUTE 35
MIDDLETOWN, NJ 07748-4224
Phone number: 732-671-9560
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