Individual
MICHELE KATHLEEN MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
804 TOWNE PARK DR STE 400, RINCON, GA 31326-5153
(912) 826-5450
(912) 826-6413
Mailing address
617 TOWNE PARK DR W APT 527, RINCON, GA 31326-4117
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007331
GA
Other
Enumeration date
06/26/2019
Last updated
07/22/2025
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