Jolene Rae Brown Mikkelson, OTR/L

NPI #1093994303 in Grand Forks, North Dakota

Provider Information

NPI Number: 1093994303
Entity Type: Individual
Name: Jolene Rae Brown Mikkelson, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: OTR/L
Enumeration Date: Nov 2, 2007
Last Updated: Nov 2, 2007

Practice Location

Address: 1000 S COLUMBIA RD
City: Grand Forks
State: North Dakota
ZIP Code: 58201-4032
Phone: (701) 780-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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