Individual
JACQUELINE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
990 E MAIN ST STE 7, BLUE RIDGE, GA 30513-4534
(706) 946-2035
(706) 946-2036
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-4915
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA004231
GA
Other
Enumeration date
04/18/2019
Last updated
04/18/2019
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