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Individual

MR. DANIEL JAMES MITCHELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR

Contact information

Practice address
99 MULFORD RD, ANDOVER, NJ 07821-2600
(973) 383-6200
Mailing address
164 WEST SHORE TRAIL, SPARTA, NJ 07871-1624
(973) 729-8989

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00174800
NJ
225X00000X
Occupational Therapist
OC-004588-L
PA

Other

Enumeration date
03/29/2012
Last updated
03/07/2015
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