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Individual

KATHLEEN MIHELICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5775 N UNION BLVD, COLORADO SPRINGS, CO 80918-1743
(719) 599-4747
Mailing address
4930 ESCAPARDO WAY, COLORADO SPRINGS, CO 80917-3722
(719) 597-2563

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
N/A
PTA NO LICENSE
CO
Enumeration date
11/03/2006
Last updated
07/08/2007
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