Individual
MRS. SONJA MARIANA MICHELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA0000001343
TN
Other
Enumeration date
04/30/2007
Last updated
12/18/2012
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