Individual
KAITLIN VERONICA MICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
(877) 787-3430
Mailing address
4905 N 113TH ST, OMAHA, NE 68164-2115
(402) 209-3299
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1702
NE
Other
Enumeration date
03/11/2021
Last updated
03/11/2021
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