Individual
DANIELLE E MIKELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1902 59TH ST W, BRADENTON, FL 34209-4602
(941) 761-1000
Mailing address
4413 46TH ST N, SAINT PETERSBURG, FL 33714-3451
(727) 565-8973
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA16885
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CNA306608
CNA
FL
01
—
OTA16885
OCCUPATIONAL THERAPY ASSISTANT
FL
Enumeration date
12/10/2018
Last updated
12/10/2018
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