Individual
MRS. COURTNEY L MIKESELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1229 S 2ND ST, CLEARFIELD, PA 16830-3305
(814) 765-0221
(814) 765-3011
Mailing address
113 N FRONT ST, CLEARFIELD, PA 16830-2512
(814) 765-4973
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OP003649L
PA
Other
Enumeration date
07/13/2006
Last updated
07/08/2007
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