Individual
LORI C MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA/L
Contact information
Practice address
1802 CRYSTAL CREEK DR, DURHAM, NC 27712-2482
(919) 620-7574
Mailing address
1802 CRYSTAL CREEK DR, DURHAM, NC 27712-2482
(919) 620-7574
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4801
NC
Other
Enumeration date
04/13/2012
Last updated
04/13/2012
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