Individual
MITCHELL GRAHAM OUTLAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 ANDERSON RD, GREENVILLE, SC 29611-7651
(864) 295-9890
(864) 295-9894
Mailing address
3400 ANDERSON RD, GREENVILLE, SC 29611-7651
(864) 295-9890
(864) 295-9894
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
11153
SC
Other
Enumeration date
02/23/2022
Last updated
02/23/2022
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