Individual
MS. COLLEEN M MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
3374 FRANKLIN AVENUE, MILLBROOK, NY 12545-5969
(845) 677-3251
Mailing address
3374 FRANKLIN AVE, MILLBROOK, NY 12545-5969
(845) 677-6196
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001276-1
NY
Other
Enumeration date
04/22/2011
Last updated
04/22/2011
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