Individual
REGINALD RENARD MITCHELL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
5840 W SUNSET RD, LAS VEGAS, NV 89118-3449
(702) 967-6100
Mailing address
6121 GRANDROSS CT, LAS VEGAS, NV 89130-4827
(904) 334-2763
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2570
NV
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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