Individual
MITCHELL SOPKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
2812 SILVER CREEK RD, BULLHEAD CITY, AZ 86442-8309
(928) 763-1404
Mailing address
2812 SILVER CREEK RD, BULLHEAD CITY, AZ 86442-8309
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/25/2018
Last updated
01/25/2018
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