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1578088704
MICHAEL MICCA
WEBSTER, NY
NPI
1578088704
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: PA PT026391)
Enumeration Date
2017-08-09
Last Update Date
2019-07-10
Business Address
MICHAEL MICCA DPT
2000 EMPIRE BLVD BLDG 2
WEBSTER, NY 14580-1957
Phone number: 585-671-1030
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Mailing Address
MICHAEL MICCA DPT
2000 EMPIRE BLVD BLDG 2
WEBSTER, NY 14580-1957
Phone number:
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