Miracle Mile Therapy LLC

NPI #1235675307 in Hernando, Florida

Provider Information

NPI Number: 1235675307
Entity Type: Organization
Organization Name: Miracle Mile Therapy LLC
Primary Specialty: Occupational Therapist
Enumeration Date: Jan 13, 2017
Last Updated: Mar 22, 2017

Practice Location

Address: 2780 N FLORIDA AVE
Address 2: UNIT 1 HERNANDO PLAZA
City: Hernando
State: Florida
ZIP Code: 34442-4390
Phone: (877) 773-7123

Authorized Official

Name: CHERYL YARCHUK, OTR/L, CLT
Title: OWNER
Phone: (315) 534-3409

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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