KENNETH JOSEPH MICON

NIAGARA FALLS, NY
NPI1932192861
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  0172851)
Enumeration Date2005-08-25
Last Update Date2007-07-08
Business Address
Mr. KENNETH JOSEPH MICON PT
2111 SAWYER DR
NIAGARA FALLS, NY 14304-2975
Phone number: 716-731-2195
Mailing Address
Mr. KENNETH JOSEPH MICON PT
2111 SAWYER DR
NIAGARA FALLS, NY 14304-2975
Phone number: 716-731-2195
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