Individual
MIKALA STARCEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1210 CANYON HILLS RD, THERMOPOLIS, WY 82443-3137
(307) 864-5591
Mailing address
1210 CANYON HILLS RD, THERMOPOLIS, WY 82443-3137
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
11/02/2016
Last updated
11/02/2016
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