Individual
MITCHELL UNDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
905 E LOS EBANOS BLVD STE C, BROWNSVILLE, TX 78520-8720
(956) 455-1869
(956) 544-2569
Mailing address
905 E LOS EBANOS BLVD STE C, BROWNSVILLE, TX 78520-8720
(956) 455-1869
(956) 544-2569
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211736
TX
Other
Enumeration date
10/15/2015
Last updated
10/16/2015
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