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Organization
JEANICE AMY MITCHELL
Active
Organization
JEANICE AMY MITCHELL
Active
Other names
Integrity Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
JEANICE AMY MITCHELL PT (OWNER)
(254) 699-3933
Entity
Organization
Contact information
Practice address
5302 JANELLE DRIVE, SUITE B, KILLEEN, TX 76549
(254) 699-3933
Mailing address
PO BOX 10340, KILLEEN, TX 76547-0340
(254) 699-3933
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0008JN
BCBS
TX
05
—
156559001
—
TX
Enumeration date
05/10/2006
Last updated
12/17/2009
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