Individual
MR. DARREL MITTELSTAEDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
6801 MAYFIELD RD, HILLCREST MEDICAL BUILDING #2 SUITE 150, MAYFIELD HTS, OH 44124-2270
(440) 312-8529
(440) 312-6928
Mailing address
6801 MAYFIELD RD, HILLCREST MEDICAL BUILDING #2 SUITE 150, MAYFIELD HTS, OH 44124-2270
(440) 312-8529
(440) 312-6928
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT-6288
OH
Other
Enumeration date
04/09/2014
Last updated
04/09/2014
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