Individual
ETIENNE JOSEPH MICKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
540 S COLLEGE AVE STE 160, NEWARK, DE 19713-1302
(302) 831-3000
Mailing address
54 CHESWOLD BLVD APT 303, NEWARK, DE 19713-4160
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0015139
DE
Other
Enumeration date
01/26/2026
Last updated
01/26/2026
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