Individual
ALEXINNA MICKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 S PARTRIDGE CIR, HOPKINS, SC 29061-9437
(803) 806-9349
Mailing address
2250 S PARTRIDGE CIR, HOPKINS, SC 29061-9437
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
4966
SC
225200000X
Physical Therapy Assistant
Primary
CP043996A
MD
Other
Enumeration date
05/20/2025
Last updated
05/21/2025
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