Individual
MR. THOMAS S MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
300 S HARBOR BLVD, STE. 710, ANAHEIM, CA 92805-3733
(800) 561-5207
Mailing address
PO BOX 6183, CORONA, CA 92878-6183
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT2383
CA
Other
Enumeration date
12/18/2011
Last updated
12/18/2011
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