Individual
MR. PATRICK JAY MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1199 OCEAN SPRINGS RD, OCEAN SPRINGS, MS 39564-3421
(228) 875-9363
Mailing address
6 LIZA CT, DEFIANCE, MO 63341-1357
(314) 779-8668
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3482
MS
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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