Individual
KENNETH WAYNE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
3475 BRENT DR, BIRMINGHAM, AL 35243-1607
(205) 862-6465
(205) 967-0537
Mailing address
3475 BRENT DR, BIRMINGHAM, AL 35243-1607
(205) 862-6465
(205) 967-0537
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1022
AL
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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