Individual
NATALIE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1919 BOSTON ST SE, GRAND RAPIDS, MI 49506-4185
(616) 245-9179
Mailing address
6672 TANGLEWOOD DR SE, GRAND RAPIDS, MI 49546-7256
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202009960
MI
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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