Individual
KRISTIAN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
331 COMMERCE DR, PEACHTREE CITY, GA 30269-3516
(770) 631-0400
Mailing address
30 LAURA WAY, SENOIA, GA 30276-1772
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA004719
GA
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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