MITZIE MARION COLET MICKELSON

ROME, GA
NPI1801408802
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: GA  OT004641)
Enumeration Date2020-08-20
Last Update Date2020-08-20
Business Address
Mrs. MITZIE MARION COLET MICKELSON OTR/L, CPAM
511 W 10TH ST NE
ROME, GA 30165-2652
Phone number: 706-235-0807
Mailing Address
Mrs. MITZIE MARION COLET MICKELSON OTR/L, CPAM
1501 SUMMER GATE WAY APT 12
DALTON, GA 30720-5385
Phone number: 408-218-4635