Individual
MS. AMANDA LYNNETTE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
13137 N CLIO RD, CLIO, MI 48420-1028
(810) 686-3601
Mailing address
13137 N CLIO RD, CLIO, MI 48420-1028
(810) 686-3601
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202007761
MI
Other
Enumeration date
04/08/2020
Last updated
04/08/2020
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