Individual
JOCELYN MAE MITCHELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1210 ANNA SUE RD, VAN BUREN, AR 72956-2948
(479) 462-3177
Mailing address
PO BOX 1586, ALMA, AR 72921-1586
(479) 462-3177
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
AOT1539
OK
225X00000X
Occupational Therapist
Primary
O-T0717
AR
Other
Enumeration date
07/16/2007
Last updated
07/16/2007
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