Individual
MR. PAUL ALEX MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
621 BERRY HILL RD, SOUTH BOSTON, VA 24592-2207
(434) 572-8901
Mailing address
5073 HALIFAX RD, HALIFAX, VA 24558-3185
(919) 376-7353
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306602506
VA
Other
Enumeration date
07/07/2008
Last updated
07/07/2008
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