Individual
MIRANDA SIMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1514 HIGH AVE W, OSKALOOSA, IA 52577-1944
(641) 673-7032
Mailing address
1832 RICHMOND AVE, OTTUMWA, IA 52501-3732
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
072974
IA
Other
Enumeration date
04/02/2018
Last updated
04/02/2018
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