Individual
HAGEN MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
520 N MAIN ST, CAVE CITY, AR 72521
(870) 283-6757
Mailing address
683 HIGHWAY 117, SMITHVILLE, AR 72466-8524
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4654
AR
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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