Mikaela M Ross, DPT
Physical Therapist in Albany, NY. Individual provider (NPI-1).
NPI number1982012282
StatusActive
Last updated in NPPESFeb 6, 2023
Details
- NPI
- 1982012282
- Entity type
- Individual (NPI-1)
- Name
- Mikaela M Ross
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 30, 2014
- Certification date
- Feb 6, 2023
- Last updated
- Feb 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 033834 | NY | Yes |
Other names
- Mikaela M Shaw (Former Name)
Practice location
121 Everett RdAlbany, NY 12205-1474
Phone 518-489-2663
Mailing address
121 Everett RdAlbany, NY 12205-1474
Phone 518-489-2663
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