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Individual

DENNIS MIKESELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
COTA

Contact information

Practice address
1603 ROAD 6, LEIPSIC, OH 45856-9252
(419) 275-2270
Mailing address
1603 ROAD 6, LEIPSIC, OH 45856-9252
(419) 275-2270

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.04662
OH

Other

Enumeration date
07/13/2011
Last updated
07/13/2011
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