Individual
NATHAN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
102 CAMPUS AVE, LEWISTON, ME 04240-6019
(207) 777-4320
Mailing address
57 ADAMS ST, GARDINER, ME 04345-1807
(207) 441-7110
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PA6006
ME
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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