Individual
MRS. LEAH MIKULSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOTR/L
Contact information
Practice address
639 W STATE ST, LARKSVILLE, PA 18651-1409
(570) 239-5151
Mailing address
639 W STATE ST, LARKSVILLE, PA 18651-1409
(570) 239-5151
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC013211
PA
Other
Enumeration date
11/10/2014
Last updated
01/29/2016
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