Individual
ALLISON MICHELLE MIRELES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1304 SE SECOND ST, SNOW HILL, NC 28580-2014
(252) 747-8126
Mailing address
205 COFFMAN DR, PIKEVILLE, NC 27863-9663
(149) 146-0233
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
15024
NC
224Z00000X
Occupational Therapy Assistant
216158
TX
Other
Enumeration date
02/02/2021
Last updated
06/02/2022
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