Individual
MS. ALICIA ANN MICKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
3467 BLUE HEATHER DR, LAS VEGAS, NV 89129-6362
(702) 809-4476
Mailing address
3467 BLUE HEATHER DR, LAS VEGAS, NV 89129-6362
(702) 809-4476
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0568
NV
Other
Enumeration date
06/04/2008
Last updated
06/04/2008
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