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Individual

MRS. MARJORIE SUSAN MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
151 COUNTRY MEADOWS BLVD, WAXAHACHIE, TX 75165-7811
(972) 937-1650
Mailing address
PO BOX 688, GRANDVIEW, TX 76050-0688
(817) 988-1273
(817) 866-2979

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2066760
TX

Other

Enumeration date
08/24/2018
Last updated
08/24/2018
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