Individual
MIKALA NALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6650 COTTAGE HILL RD, MOBILE, AL 36695-3704
(251) 714-5053
Mailing address
6650 COTTAGE HILL RD, MOBILE, AL 36695-3704
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3902
AL
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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