Individual
LANISHA IYANLA MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
260 M J TAYLOR ROAD, ADEL, GA 31620
(229) 896-8000
Mailing address
2537 CENTENNIAL COMMONS VW NW, ACWORTH, GA 30102-2168
(678) 524-6469
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT009594
GA
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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