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1952816134
ALYSSA MARIE MIKUT
SAN DIEGO, CA
NPI
1952816134
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA OT16143)
Enumeration Date
2017-12-09
Last Update Date
2018-03-17
Business Address
ALYSSA MARIE MIKUT OTR/L
200 W ARBOR DR
SAN DIEGO, CA 92103-9000
Phone number: 858-249-6751
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Mailing Address
ALYSSA MARIE MIKUT OTR/L
PO BOX 232410
SAN DIEGO, CA 92193-2410
Phone number: 858-249-6751
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