Individual
MR. JOHN JEFFREY MIKLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTRL
Contact information
Practice address
299 EDWARDS STREET, EASTER SEALS OF MAHONING COUNTY, YOUNGSTOWN, OH 44502
(330) 743-1168
(330) 743-1616
Mailing address
1215 GRISWOLD ST, SHARON, PA 16146
(724) 346-3959
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT04419
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0078348
—
OH
Enumeration date
07/13/2006
Last updated
07/08/2007
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