Anne Micinski, ATC, LAT

NPI 1912065848 · on the registry since 2006 · sole proprietor

Practice

Address: 1005 N Hickory Rd
South Bend, IN 46615
Phone: (574) 233-5754
Organisation at this address: Mcdonald Physical Therapy
Mcdonald Physical Therapy And Sports Rehabilitation Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 29

Registry record

Primary taxonomy: 2255A2300X
2255A2300X
Licence states on file: IN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

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 Indiana