Individual
AMY LYNN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9115 MILTON CARLISLE RD, NEW CARLISLE, OH 45344-9249
(937) 408-5108
Mailing address
339 E MAPLE ST, NORTH CANTON, OH 44720-2593
(330) 498-8200
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.001989
OH
Other
Enumeration date
11/30/2018
Last updated
11/30/2018
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