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Individual

MIKAYLI KANAE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
900 S FRANKLIN ST STE 201, WAKE FOREST, NC 27587-2799
(919) 556-1700
(919) 556-1245
Mailing address
900 S FRANKLIN ST STE 201, WAKE FOREST, NC 27587-2799
(919) 556-1700
(919) 556-1245

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
028268-01
NY
225X00000X
Occupational Therapist
124314
TX
225X00000X
Occupational Therapist
Primary
14687
NC
225X00000X
Occupational Therapist
23710
FL

Other

Enumeration date
01/11/2022
Last updated
05/08/2024
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