Individual
SUSAN DIANE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL CHT
Contact information
Practice address
8032 SUMMA AVE, SUITE A, BATON ROUGE, LA 70809-3478
(225) 769-6008
Mailing address
645 N PARKVIEW PL, BATON ROUGE, LA 70815-4442
(225) 928-5383
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
9310000148
CA
Other
Enumeration date
08/05/2006
Last updated
02/10/2009
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