Individual
PAULA ANNE MIKOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3399 WINTON RD S, ROCHESTER, NY 14623-3057
(585) 334-6000
(585) 334-2858
Mailing address
3399 WINTON RD S, ROCHESTER, NY 14623-3057
(585) 334-6000
(585) 334-2858
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
009128-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00355344
—
NY
Enumeration date
01/22/2014
Last updated
01/22/2014
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