Individual
ALEXANDRA MICEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7925 JANES AVE, WOODRIDGE, IL 60517-3821
(850) 207-9116
Mailing address
7925 JANES AVE, WOODRIDGE, IL 60517-3821
(850) 207-9116
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.012775
IL
Other
Enumeration date
11/21/2018
Last updated
10/28/2022
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