Individual
DYLAN JOSHUA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
159 E ORANGEBURG AVE, MODESTO, CA 95350-5334
(209) 526-2811
Mailing address
612 TRASK LN, MODESTO, CA 95354-1950
(209) 402-6516
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
CA
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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