Individual
MICKAYLA HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2225 W SOUTHERN AVE STE B, MESA, AZ 85202-4716
(480) 261-5113
Mailing address
1904 E INTREPID AVE, MESA, AZ 85204-6819
(774) 392-2261
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-007765
AZ
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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