Individual
LAURA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 WAYNE MEMORIAL DR, GOLDSBORO, NC 27534-1727
(919) 735-2121
Mailing address
1202 S BEST ST, GOLDSBORO, NC 27530-6704
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7301297
—
NC
Enumeration date
08/23/2007
Last updated
02/25/2009
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