Individual
BRIAN MICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
777 9TH ST N, NAPLES, FL 34102-8135
(239) 261-8126
Mailing address
297 MILLSTONE RD, MILLSTONE TOWNSHIP, NJ 08535-1215
(908) 770-8789
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT19338
FL
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
09/19/2017
Last updated
03/27/2020
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