Individual
CHIFFON MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1656 STOCKING ST, DAYTONA BEACH, FL 32117-4586
(386) 868-9447
Mailing address
1656 STOCKING ST, DAYTONA BEACH, FL 32117-4586
(386) 868-9447
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
19125
FL
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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