Individual
WILMA JUANITA MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
1276 FULTON AVE, BRONX, NY 10456-3467
(718) 901-6308
Mailing address
4137 EDSON AVE, BRONX, NY 10466-2011
(347) 821-8628
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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