Miracle Mile Therapy LLC
Organization Active NPI Occupational Therapist · Hernando, FL
NPI 1235675307 · NPPES record last updated Mar 22, 2017
Key facts
- NPI
- 1235675307
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT18040 (FL)
- Legal business name
- MIRACLE MILE THERAPY LLC
- Practice address
- 2780 N Florida Ave
Unit 1 Hernando Plaza
Hernando, FL 34442-4390 - Phone
- (877) 773-7123
- Fax
- (877) 773-7123
- NPI assigned
- Jan 13, 2017
- Organization subpart
- No
Authorized official
- Name
- Cheryl Yarchuk, OTR/L, CLT
- Title
- Owner
- Phone
- (315) 534-3409
National Provider Directory
Locations
2780 N Florida Ave
Ste 1
Hernando, FL 34442
Phone (352) 419-7987
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist |
225X00000X | OT18040 | FL | Yes |
Addresses
Primary practice location
2780 N Florida Ave
Unit 1 Hernando Plaza
Hernando, FL 34442-4390
Mailing address
2780 N Florida Ave
Ste 1
Hernando, FL 34442-4390
Phone (877) 773-7123
Other providers in Hernando, FL
- Sharon Ann Maceachron
- Jean-Marie Antoinette McCauley
- Kimberly Arlene Mena
- Amanda Renee Mendoza
- Lauren Kim Miller
- Sanggiu Moon
- Carlos Morales
- Jessica Lynn Morales
- John Mosley Jr.
- Liza A. Mozingo
All providers in Hernando, FL · Occupational Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.