Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mikaela Grace Soubik, OTR/L

Individual provider Occupational Therapist · NPI 1972255792

Mikaela Grace Soubik, OTR/L is an Occupational Therapist in Pottsville, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2022
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

1234 W Norwegian St
Pottsville, PA 17901-2212
Phone: (570) 516-6490
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OC018136 (PA)

Record details

NPI number1972255792
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedJanuary 23, 2022
Last updated in NPPESJanuary 23, 2022
Certification dateJanuary 23, 2022

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