Individual
MICHELLE MARIE MIKHNENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1825 BATH AVE, BROOKLYN, NY 11214-4613
(718) 238-4637
Mailing address
160 SURFSIDE PLZ, STATEN ISLAND, NY 10307-1941
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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