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Individual

MRS. MIKELLA ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
179 STATION PLACE SUITE 100, HURRICANE, WV 25526
(304) 760-6300
Mailing address
PO BOX 450, SCOTT DEPOT, WV 25560

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1838
WV

Other

Enumeration date
09/22/2016
Last updated
01/16/2019
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