Mika Ley Cyrus Pacifico, OTR

Occupational Therapist · Fort Stewart, GA

Individual Active NPI Reactivated September 6, 2023

NPI number 1154929941

Practice location

1061 Harmon Ave
Fort Stewart, GA 31314-5641
Phone
(912) 435-6965

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NPI record

NPI
1154929941
Entity type
Individual (Type 1)
Enumeration date
October 13, 2020
Last updated
March 11, 2024
Certified
March 11, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Occupational Therapist Primary 225X00000X 21681 CA

About Mika Ley Cyrus Pacifico

Mika Ley Cyrus Pacifico, OTR is a healthcare provider registered in the NPI registry with the primary taxonomy Occupational Therapist (code 225X00000X). The practice location is 1061 Harmon Ave, Fort Stewart, GA 31314-5641. The NPI number 1154929941 was assigned on October 13, 2020 and the record was last updated on March 11, 2024.

Mika Ley Cyrus Pacifico lists a license in the registry: #21681 (CA) for Occupational Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mika Ley Cyrus Pacifico, OTR?

The NPI number is 1154929941.

What is the phone number of Mika Ley Cyrus Pacifico?

The phone number listed for the practice location is (912) 435-6965.

Where is Mika Ley Cyrus Pacifico located?

1061 Harmon Ave, Fort Stewart, GA 31314-5641.

What is the taxonomy code for Mika Ley Cyrus Pacifico?

The primary taxonomy code is 225X00000X – Occupational Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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