Individual
ALISA MARIA LINZ MIKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
301 W BROAD ST APT 352, FALLS CHURCH, VA 22046-3382
(540) 664-0170
Mailing address
301 W BROAD ST APT 352, FALLS CHURCH, VA 22046-3382
(540) 664-0170
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/25/2022
Last updated
07/01/2022
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