Individual
MRS. DARIA MICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, PT
Contact information
Practice address
2400 CANAL ST, NEW ORLEANS, LA 70119-6535
(504) 507-2000
Mailing address
2400 CANAL ST, NEW ORLEANS, LA 70119-6535
(504) 507-2000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
08201
LA
Other
Enumeration date
08/27/2020
Last updated
08/27/2020
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