Individual
PHILLIP G MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-8250
(608) 417-8251
Mailing address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-8250
(608) 417-8251
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6627-26
WI
Other
Enumeration date
03/13/2024
Last updated
03/13/2024
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