Individual
ANGELA MICHELLE MIKESKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4680 CORDATA PKWY, BELLINGHAM, WA 98226-8038
(360) 398-1966
Mailing address
4680 CORDATA PKWY, BELLINGHAM, WA 98226-8038
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
60772551
WA
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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