Individual
ALICEN WRAY MITTERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
13212 HULL STREET RD, MIDLOTHIAN, VA 23112-2620
(804) 419-9840
(804) 497-1134
Mailing address
1115 BOULDERS PARKWAY, SUITE 200, NORTH CHESTERFIELD, VA 23225-4067
(804) 968-1803
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305214397
VA
225100000X
Physical Therapist
—
—
Other
Enumeration date
06/03/2021
Last updated
06/15/2021
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