Doctor Name: | MISS GLYNDA LEIGH MIKOLAJEWSKI |
NPI Number: | 1043397128 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT-01508 |
Business Practice Address: | 6215 Troy Pike Huber Heights, OH - 454243646 |
Business Phone Number: | 9372368111 |
Business Fax Number: | 9372364877 |
Mailing Address: | 919 Lincoln St, PIQUA |
State: | OH |
Postal Code: | 453561623 |
Phone Number: | 9372714721 |
Fax Number: | 9373815003 |
NPI Enumeration Date: | 11/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | PT-01508 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |