Individual
MRS. BRANDE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
163 BIRCH LN, GLENVILLE, NY 12302-5519
(518) 867-3061
Mailing address
163 BIRCH LANE, GLENVILLE, NY 12302
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
003278-1
NY
Other
Enumeration date
01/10/2011
Last updated
12/19/2022
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