Individual
ANAMIKA MISHRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
400 12TH ST STE 25, MODESTO, CA 95354-2415
(209) 549-9875
Mailing address
9224 HARRINGTON CIR, MONTGOMERY, AL 36117-8476
(334) 235-0416
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
21356
CA
225X00000X
Occupational Therapist
5337
AL
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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