Mariah Lynn Mikulas, COTA

NPI #1588954598 in Pueblo, Colorado

Provider Information

NPI Number
1588954598
Entity Type
Individual
Name
Mariah Lynn Mikulas, COTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Skilled Nursing Facility
Credential
COTA
Enumeration Date
Apr 11, 2011
Last Updated
Apr 11, 2011

Practice Location

Address
2724 FRANKLIN AVE
City
Pueblo
ZIP Code
81003-1330
Phone
(719) 469-4170

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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