Individual
MRS. KAREN EILEEN MIRACLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
169 ROBERT MITCHELL RD, CADIZ, KY 42211-8364
(270) 522-1220
Mailing address
169 ROBERT MITCHELL RD., CADIZ, KY 42211
(270) 522-1220
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
KY-RO479
KY
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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