Individual
MRS. CHRISTINE O'BRIEN MICELI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., PT.
Contact information
Practice address
2 ROSELL DR, SUITE 100, BALLSTON LAKE, NY 12019-1428
(518) 877-8900
Mailing address
2 ROSELL DR, SUITE 100, BALLSTON LAKE, NY 12019-1428
(518) 877-8900
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
017257-1
NY
Other
Enumeration date
07/30/2007
Last updated
07/30/2007
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