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Mariah Mikulas, COTA

NPI 1588954598 · on the registry since 2011 · sole proprietor

Practice

Address
2724 Franklin Ave
Pueblo, CO 81003
Phone
(719) 469-4170

Registry record

Primary taxonomy
314000000X
314000000X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-04-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado