Individual
KELLY ELIZABETH MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
887 E WILMETTE RD, PALATINE, IL 60074-6495
(872) 222-7529
Mailing address
887 E WILMETTE RD, PALATINE, IL 60074-6495
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056.011278
IL
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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