Individual
CHRISTOPHER MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 GEORGETOWN PKWY, FENTON, MI 48430-3215
(248) 770-0194
Mailing address
315 GEORGETOWN PKWY, FENTON, MI 48430-3215
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202004101
MI
Other
Enumeration date
06/04/2014
Last updated
06/04/2014
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