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1114771946
ALEXIS RAE MIKULEWICH
WAXHAW, NC
NPI
1114771946
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NC 16705)
Enumeration Date
2024-04-17
Last Update Date
2024-06-13
Business Address
ALEXIS RAE MIKULEWICH OTR/L
1229 TOTEROS DR # 28173
WAXHAW, NC 28173-6950
Phone number: 704-649-4509
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Mailing Address
ALEXIS RAE MIKULEWICH OTR/L
1310 SAN GABRIEL AVE
CHARLOTTE, NC 28214-3104
Phone number: 631-552-1896
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