Individual
MR. WILLIE PATRICK MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA, COTA
Contact information
Practice address
1695 KERNERSVILLE MEDICAL PKWY, KERNERSVILLE, NC 27284-7159
(336) 515-5000
Mailing address
1695 KERNERSVILLE MEDICAL PKWY, KERNERSVILLE, NC 27284-7159
(336) 515-5000
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3460
NC
Other
Enumeration date
08/11/2015
Last updated
10/19/2022
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