Individual
MIKALYNN MARY DANISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
957 BECKS KNOB RD, LANCASTER, OH 43130-8800
(740) 654-2634
Mailing address
PO BOX 182, PHILO, OH 43771-0182
(740) 819-9147
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA007203
OH
Other
Enumeration date
12/22/2018
Last updated
12/22/2018
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