Individual
MIKI MANISH KORADIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6000 FAYETTEVILLE RD, DURHAM, NC 27713-9754
(919) 226-4314
Mailing address
6000 FAYETTEVILLE RD, DURHAM, NC 27713-9754
(919) 226-4314
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6740
NC
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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