Individual
AUDREY MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
25 ADAMS RD, WILLIAMSTOWN, MA 01267-2928
(518) 478-3670
Mailing address
PO BOX 162, MECHANICVILLE, NY 12118-0162
(518) 478-3670
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3587
MA
Other
Enumeration date
01/29/2014
Last updated
01/29/2014
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