Individual
ANTHONY JOSEPH MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
925 BEVINS CT, LAKEPORT, CA 95453-9754
(707) 263-8382
Mailing address
PO BOX 1950, LAKEPORT, CA 95453-1950
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
51851
CA
Other
Enumeration date
08/17/2022
Last updated
08/17/2022
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