MICAH STRAIGHT

LAKEWOOD, NJ
NPI1619140837
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: PA  PT013423L)
Enumeration Date2008-04-09
Last Update Date2008-04-09
Business Address
-- MICAH STRAIGHT
5 N CREST PL
LAKEWOOD, NJ 08701-2967
Phone number: 267-471-8277
Mailing Address
-- MICAH STRAIGHT
957 N RANDOLPH ST
PHILA, PA 19123-1407
Phone number:
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