Individual
EMILY MITCHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3905 UNIVERSITY DR, DURHAM, NC 27707-2517
(919) 928-0204
Mailing address
1612 BROOK FERN WAY, RALEIGH, NC 27609-4998
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15700
NC
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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