Robin Mitan, OT | |
891 Meadowview Lane, Columbia, IL 62236 | |
(618) 806-8461 | |
Not Available |
Full Name | Robin Mitan |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 891 Meadowview Lane, Columbia, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700966520 | NPI | - | NPPES |
06732018 | Other | BLUE CROSS BLUE SHIELD OF | |
7058311 | Other | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 2000155595 (Missouri) | Secondary |
225X00000X | Occupational Therapist | (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Robin Mitan, OT 891 Meadowview Lane, Columbia, IL 62236 Ph: (618) 806-8461 | Robin Mitan, OT 891 Meadowview Lane, Columbia, IL 62236 Ph: (618) 806-8461 |
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