Individual
MIRANDA SERMERSHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
800 W 9TH ST, JASPER, IN 47546-2516
(812) 996-0682
Mailing address
2831 NEW HARTFORD RD, OWENSBORO, KY 42303-1320
(812) 477-1558
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
BOTOCT00224694
KY
Other
Enumeration date
08/08/2016
Last updated
03/28/2022
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