Individual
KIMBERLY THERESE MIELKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1807 EAST MAIN ST, EASLEY, SC 29640
(864) 442-7482
(864) 306-7977
Mailing address
1807 EAST MAIN ST, EASLEY, SC 29640
(864) 442-7482
(864) 306-7977
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1682
SC
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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