Individual
MRS. MICAH MARIE ALLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
6904 PROVIDENCE PARK DR S, MOBILE, AL 36695-4600
(251) 639-2096
Mailing address
7045 WILLIAMSBURG CT, IRVINGTON, AL 36544-3659
(251) 957-0205
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
916
AL
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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