Individual
MR. GERALD ELROY MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1261 LA VISTA ROAD NE, L - 4, ATLANTA, GA 30324
(404) 271-8861
Mailing address
1261 LA VISTA ROAD NE, L - 4, ATLANTA, GA 30324
(404) 271-8861
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0045531
GA
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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