Individual
PATRICE MIKELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3255 29TH AVE SW, NAPLES, FL 34117-8417
(239) 821-1920
Mailing address
3255 29TH AVE SW, NAPLES, FL 34117-8417
(239) 821-1920
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA356
FL
Other
Enumeration date
02/09/2011
Last updated
02/09/2011
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