Individual
LINDSEY FROST MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH5572
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51599304
BLUE CROSS BLUE SHEILD OF ALALBAMA
AL
01
—
PTH5572
PHYSICAL THERAPY LICENSE NUMBER
AL
Enumeration date
07/09/2009
Last updated
08/11/2009
Update your record
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