Individual
STEPHANIE ANN MIKKELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 669-9217
Mailing address
506 S MASON AVE, EAST WENATCHEE, WA 98802-9140
(509) 669-9217
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC00000760
WA
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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