Individual
MISS ALI S MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT, PT, ATC
Contact information
Practice address
171 DURGY HILL RD, WEST RUTLAND, VT 05777-9427
(802) 558-2510
Mailing address
2338 COUNTY ROUTE 18, WHITEHALL, NY 12887-3852
(802) 558-2510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040.0134048
VT
2255A2300X
Athletic Trainer
104.0053167
VT
Other
Enumeration date
07/13/2009
Last updated
09/05/2024
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