Individual
HEATHER MIKESELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3132 CHESSWOOD LN, WINTERVILLE, NC 28590-7992
(567) 242-9435
Mailing address
1 POND ST, ARDEN, NC 28704-8500
(828) 774-5222
(828) 774-5222
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
13197
NC
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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