Individual
JESSICA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3035 PALMER WASILLA HWY, STE 401, WASILLA, AK 99654-7234
(907) 376-8590
(907) 376-8584
Mailing address
1917 ABBOTT RD STE 200, ANCHORAGE, AK 99507-3448
(907) 743-8228
(907) 743-8283
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1719
AK
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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