Individual
MS. MADISON NICOLE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT R/L
Contact information
Practice address
2000 MAIN ST, PARIS, KY 40361-1149
(859) 987-5750
Mailing address
2000 MAIN ST, PARIS, KY 40361-1149
(859) 987-5750
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
245122
KY
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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