Pamela Elizabeth Mikita, PTA
Physical Therapy Assistant in Camarillo, CA. Individual provider (NPI-1).
NPI number1487904397
StatusActive
Last updated in NPPESSep 18, 2012
Details
- NPI
- 1487904397
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Pamela Elizabeth Mikita
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 18, 2012
- Last updated
- Sep 18, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | AT 4438 | CA | Yes |
Practice location
2486 N Ponderosa DrCamarillo, CA 93010-2376
Phone 805-484-5447 · Fax 805-484-2158
Mailing address
2486 N Ponderosa DrCamarillo, CA 93010-2376
Phone 805-484-5447 · Fax 805-484-2158
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