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Individual

MOLLY KIERSTEN MIKLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
3988 E FORT LOWELL RD, TUCSON, AZ 85712-1010
(520) 488-5291
Mailing address
2850 N COUNTRY CLUB RD, TUCSON, AZ 85716-1910
(520) 322-6274
(520) 321-0495

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5543
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
105729
AZ
Enumeration date
07/12/2005
Last updated
07/14/2022
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