Individual
MICHAEL MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
206 MARYLAND AVE, MCCOMB, MS 39648-3926
(601) 250-4815
Mailing address
2629 ASHURST RD, TALLASSEE, AL 36078
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5145
AL
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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