ROBBY JOHN MICKELSON

DALTON, GA
NPI1386460954
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: GA  PTA002859)
Enumeration Date2024-11-28
Last Update Date2024-11-28
Business Address
ROBBY JOHN MICKELSON PTA
1212 BROADRICK DR
DALTON, GA 30720-2503
Phone number: 706-270-8008
Mailing Address
ROBBY JOHN MICKELSON PTA
1501 SUMMER GATE WAY APT 12
DALTON, GA 30720-5385
Phone number: