Individual
MIKKA RUNYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2898 US HIGHWAY 50 E, CARSON CITY, NV 89701-2811
(775) 882-3301
Mailing address
2898 US HIGHWAY 50 E, CARSON CITY, NV 89701-2811
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-2206
NV
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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