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Individual

PHILLIP SCOTT MITCHELL

Active
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Individual

PHILLIP SCOTT MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10587
MN
225100000X
Physical Therapist
Primary
13341
WI
225100000X
Physical Therapist
PTH6457
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140816
—
AL
01
—
51128755
BLUE CROSS BLUE SHIELD OF ALABAMA
AL
Enumeration date
06/30/2011
Last updated
05/11/2017
About Stedi
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