Individual
LORI ANN MIKESELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3443 KINGSBORO RD NE, APT 1114, ATLANTA, GA 30326-3316
(765) 993-4388
Mailing address
3443 KINGSBORO RD NE, APT 1114, ATLANTA, GA 30326-3316
(765) 993-4388
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT004893
GA
Other
Enumeration date
03/18/2009
Last updated
03/18/2009
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