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Mitzie Marion Mickelson, OTR/L, CPAM

NPI 1801408802 · on the registry since 2020 · sole proprietor

Practice

Address
511 W 10th St Ne
Rome, GA 30165
Phone
(706) 235-0807

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-08-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia