Individual
AMY MIKULEC
Active
Individual
AMY MIKULEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
017304
OH
225100000X
Physical Therapist
13677
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017304
OHIO PHYSICAL THERAPY LICENSE
OH
01
—
13677
MEDICARE
AZ
Enumeration date
05/25/2018
Last updated
08/31/2021
Update your record
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