Individual
MS. JILL ELAINE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR-L
Contact information
Practice address
1611 JONES FRANKLIN RD, SUITE 109, RALEIGH, NC 27606-3376
(919) 852-0702
(919) 852-0742
Mailing address
113 BENTPINE DR, RALEIGH, NC 27603-5723
(919) 779-9361
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3996
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7301824
—
NC
Enumeration date
11/20/2006
Last updated
07/08/2007
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