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Individual

AMY MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
LYSTER ARMY HEALTH CLINIC, BLDG 301 ANDREWS AVE, FORT RUCKER, AL 36362-5333
(334) 255-7169
Mailing address
LYSTER ARMY HEALTH CLINIC, BLDG 301 ANDREWS AVE, FORT RUCKER, AL 36362-5333
(334) 255-7169

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
5808
TN
225200000X
Physical Therapy Assistant
Primary
PTA7320
AL

Other

Enumeration date
05/23/2016
Last updated
05/23/2016
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