Individual
MS. EMMA LOUISE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
9 SHEPPARD LANE, SAXTONS RIVER, VT 05154-0196
(802) 376-6136
Mailing address
20 PLEASANT STREET, SAXTONS RIVER, VT 05154-0196
(802) 376-6136
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
0303
NH
2255A2300X
Athletic Trainer
Primary
1040000123
VT
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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