Individual
MRS. PATRICIA JEAN MIKULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
11 DAIRY LN, FREDERICKSBRG, VA 22405-2663
(540) 371-9414
(540) 371-4501
Mailing address
9611 NOTTOWAY LN, SPOTSYLVANIA, VA 22553-5351
(540) 972-3567
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306601916
VA
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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