Individual
MITCHELL ROY LOISELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
134 PROFESSIONAL PARK DR, ROCK HILL, SC 29732-1178
(704) 667-4045
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
16638
NC
Other
Enumeration date
03/06/2024
Last updated
07/15/2024
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