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Individual

CHRISITNE R MICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
0131000159

Contact information

Practice address
8254 ATLEE RD, MECHANICSVILLE, VA 23116-1844
(804) 342-4353
Mailing address
3610 KIEFER RD, CHESTER, VA 23831-1813
(804) 748-4276

Taxonomy

Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
0131000159
VA

Other

Enumeration date
04/06/2017
Last updated
04/06/2017
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