DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KATHRYN D MICKEN, P.T.A.

Active Sole Proprietor

KATHRYN D MICKEN, P.T.A. is a Occupational Therapist healthcare provider located in MILLINGTON, Maryland. NPI 1194003814 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · MILLINGTON, MD

Registration Details

NPI Number
1194003814
Provider Type
Individual
Gender
Female
NPI Issued
Jul 29, 2011 (15.017394647846 yrs)
Last Updated
Jan 9, 2016
License
A3649 (MD)
Sole Proprietor
Yes

Practice Information

Address
124 RED LION BRANCH RD
MILLINGTON, MD, 216511588
Browse MD providers · Browse ZIP 21651
Phone
4109247247
Primary Specialty
Occupational Therapist
225200000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.