Individual
MICAH JANE MCHOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
205 TYLER CT, MOUNT VERNON, MO 65712-7845
(573) 822-0685
Mailing address
205 TYLER CT, MOUNT VERNON, MO 65712-7845
(573) 822-0685
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2022005834
MO
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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