Individual
MRS. TRISHA DAWN MICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
428 S MARKET ST, MARTINSBURG, PA 16662-1014
(814) 793-3428
(814) 793-3491
Mailing address
3661 BRUMBAUGH RD, NEW ENTERPRISE, PA 16664-8822
(814) 766-2451
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE001349L
PA
Other
Enumeration date
11/10/2006
Last updated
07/08/2007
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