Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
261QR0401X | B4[14] | Comprehensive Outpatient Rehabilitation Facility | |
Marriage & Family Therapist |
106H00000X |
| NPI Number | 1295442283 |
| Entity | Organization |
| Organization subpart 1 | Not specified |
| Enumeration date | 10/31/2022 |
| Last updated | 10/27/2023 - About 3 years ago |
| Identifiers | n/a |
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MIKHAELA E AMICK
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