Individual
ASHLEY MICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
200 VIA NAVAJO, PALOS VERDES ESTATES, CA 90274-1109
(530) 574-1672
Mailing address
200 VIA NAVAJO, PALOS VERDES ESTATES, CA 90274-1109
(530) 574-1672
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
16419
CA
Other
Enumeration date
09/13/2016
Last updated
10/26/2019
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