Individual
COURTNEY MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 INTERNATIONAL PKWY, STE 400, LAKE MARY, FL 32746-5035
(800) 806-6026
Mailing address
4574 137TH ST W, APPLE VALLEY, MN 55124-5211
(813) 371-5180
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103878
MN
Other
Enumeration date
06/09/2011
Last updated
06/09/2011
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