Individual
MARISSA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 TOWN RDG, MIDDLETOWN, CT 06457-1631
(774) 222-5940
Mailing address
100 TOWN RDG, MIDDLETOWN, CT 06457-1631
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5509
CT
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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