Individual
JOAN MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1055 HARDING ST, UNIONDALE, NY 11553-3109
(646) 421-7102
Mailing address
1055 HARDING ST, UNIONDALE, NY 11553-3109
(646) 421-7102
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
008375-01
NY
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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