Individual
MICHAEL MINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
524 JAMES WAY, MARION, OH 43302-7801
(740) 389-6306
Mailing address
2726 OWENS GREEN CAMP RD, MARION, OH 43302-8233
(740) 528-2751
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
01992
OH
Other
Enumeration date
08/11/2008
Last updated
11/27/2012
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