Individual
ANDREW MIKKELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
28 WATCH HILL RD, WESTERLY, RI 02891-3501
(401) 741-0286
Mailing address
28 WATCH HILL RD, WESTERLY, RI 02891-3501
(401) 741-0286
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT03432
RI
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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