Individual
MRS. PAMELA ELIZABETH MIKITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2486 N PONDEROSA DR, CAMARILLO, CA 93010-2376
(805) 484-5447
(805) 484-2158
Mailing address
2486 N PONDEROSA DR, CAMARILLO, CA 93010-2376
(805) 484-5447
(805) 484-2158
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 4438
CA
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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