Individual
MICA SANON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
25 CASSIDY DR, BLUFFTON, SC 29910-4143
(843) 396-1065
Mailing address
21 WINSLOW CIR, SAVANNAH, GA 31407-4946
(816) 898-4227
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10185
SC
225100000X
Physical Therapist
PT014119
GA
Other
Enumeration date
03/09/2021
Last updated
10/13/2025
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