Mikaela Grace Soubik, OTR/L
NPI #1972255792 in Pottsville, Pennsylvania
Provider Information
- NPI Number
- 1972255792
- Entity Type
- Individual
- Name
- Mikaela Grace Soubik, OTR/L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapist
- Credential
- OTR/L
- Enumeration Date
- Jan 23, 2022
- Last Updated
- Jan 23, 2022
Practice Location
- Address
- 1234 W NORWEGIAN ST
- City
- Pottsville
- State
- Pennsylvania
- ZIP Code
- 17901-2212
- Phone
- (570) 516-6490
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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