Doctor Name: | MR. FRANK J MIKLOUCICH |
NPI Number: | 1053356600 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.T. |
License Number: | 027719 |
Business Practice Address: | 3060 Henderson Dr Jacksonville, NC - 285465246 |
Business Phone Number: | 9103463151 |
Business Fax Number: | 9103462975 |
Mailing Address: | 3060 Henderson Dr, JACKSONVILLE |
State: | NC |
Postal Code: | 285465246 |
Phone Number: | 9103463151 |
Fax Number: | 9103462975 |
NPI Enumeration Date: | 06/18/2006 |
NPI Last Update Date: | 10/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 027719 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |