Individual
JILL MIKLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 S 4TH ST, ARLINGTON, SD 57212-2322
(605) 203-1638
Mailing address
108 S 4TH ST, ARLINGTON, SD 57212-2322
(605) 203-1638
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
218A
SD
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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