Individual
MRS. ELIZABETH ANNE MIXER
Active
Individual
MRS. ELIZABETH ANNE MIXER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
10238
NC
225X00000X
Occupational Therapist
Primary
OT010181
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0788A
BCBS
NC
05
—
2187155
—
OH
05
—
7201016
—
NC
01
—
AB7360731
MEDICARE PIN
OH
Enumeration date
05/02/2016
Last updated
08/08/2018
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