Individual
JESSICA RENEE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1995 E CORNELIUS HARNETT BLVD, LILLINGTON, NC 27546-8276
(910) 893-5141
Mailing address
4913 SUGARGROVE CT, APEX, NC 27539-5017
(727) 286-1400
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8580
NC
Other
Enumeration date
03/29/2013
Last updated
03/29/2013
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