Individual
SHAQUILLE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
33 N MAIN ST, PITTSTON, PA 18640-1949
(570) 208-2787
Mailing address
33 N MAIN ST, PITTSTON, PA 18640-1949
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE013605
PA
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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