Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 13649 | FL |
NPI | 1013140128 |
---|---|
Provider Name | Kara Lee Mihelich |
First Address | Shelby Township, MI 48316-3734 |
Second Address | Macomb, MI 48044-5363 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2009 |
Last Update Date | 17/03/2018 |