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Individual
MR. SCOTT DAVID MITCHELL
Active
Individual
MR. SCOTT DAVID MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
16052
MA
225100000X
Physical Therapist
Primary
198019
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036484
—
AZ
Enumeration date
09/08/2006
Last updated
08/10/2022
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