Individual
SARAH MICHELLE MIZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 ZORN AVE, LOUISVILLE, KY 40206-1433
(502) 287-5995
Mailing address
800 ZORN AVE, LOUISVILLE, KY 40206-1433
(502) 287-5995
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
53678
—
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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