Individual
DOUGLAS MICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
155 WATERDAM RD, MCMURRAY, PA 15317-2567
(724) 941-2429
Mailing address
1050 MORGAN RD, BRIDGEVILLE, PA 15017-1040
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC002413
PA
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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