Individual
MRS. KATHLEEN ANN MCGREAL-MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
6901 PECKHAM ST, JOHNSTON, IA 50131-3143
(515) 253-2500
Mailing address
1060 POLK BLVD, DES MOINES, IA 50311-3344
(515) 802-0111
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
01706
IA
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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