Individual
NYJA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9550 SAN MATEO BLVD NE STE A, ALBUQUERQUE, NM 87113-2313
(505) 302-6850
Mailing address
9550 SAN MATEO BLVD NE STE A, ALBUQUERQUE, NM 87113-2313
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT-2024-0264
NM
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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