Individual
KAILIN NICOLE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
20 PROFESSIONAL CT, LAFAYETTE, IN 47905-5209
(765) 423-7988
Mailing address
1211 BURBERRY DR W APT 41, LAFAYETTE, IN 47905-4991
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31007648A
IN
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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