Individual
EMILY ELIZABETH MICHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
181 W MEADOW DR, VAIL, CO 81657-5242
(970) 476-2451
Mailing address
PO BOX 40000, VAIL, CO 81658-7520
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0003480
CO
225X00000X
Occupational Therapist
Primary
295869
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500701750
—
OR
Enumeration date
07/20/2012
Last updated
02/04/2022
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