Individual
LISA MIKULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
99 BARCLAY ST, NEWTOWN, PA 18940-1593
(215) 860-4000
Mailing address
744 NEWBURY CT, SOUTHAMPTON, PA 18966-4552
(215) 459-0765
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC014356
PA
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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