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Organization
MIRACLE MILE THERAPY LLC
Active
Organization
MIRACLE MILE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL YARCHUK OTR/L, CLT (OWNER)
(315) 534-3409
Entity
Organization
Contact information
Practice address
2780 N FLORIDA AVE, UNIT 1 HERNANDO PLAZA, HERNANDO, FL 34442-4390
(877) 773-7123
(877) 773-7123
Mailing address
2780 N FLORIDA AVE, STE 1, HERNANDO, FL 34442-4390
(877) 773-7123
(877) 773-7123
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT18040
FL
Other
Enumeration date
01/13/2017
Last updated
03/22/2017
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