Individual
MISS KELLY ANNE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3020 CHILDRENS WAY, MC 5068, SAN DIEGO, CA 92123-4223
(858) 966-5829
(858) 966-5859
Mailing address
3020 CHILDRENS WAY, MC 5068, SAN DIEGO, CA 92123-4223
(858) 966-5829
(858) 966-5859
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305208787
VA
2251P0200X
Pediatric Physical Therapist
Primary
291421
CA
Other
Enumeration date
03/11/2013
Last updated
08/12/2016
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