Individual
CHRISTIE MIELKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 HUNTINGTON AVE, WARREN, IN 46792-9402
(260) 375-2201
Mailing address
7510 MAEVE DR, FORT WAYNE, IN 46835-9228
(260) 402-6113
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
04/22/2019
Last updated
04/22/2019
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