Individual
MATTHEW WALLACE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
91 W VALLEY RD, CHIMACUM, WA 98325-7731
(360) 732-4090
Mailing address
1044 WATER ST, SUITE 339, PORT TOWNSEND, WA 98368-6706
(360) 441-0142
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00004327
WA
Other
Enumeration date
06/26/2013
Last updated
06/26/2013
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