Individual
BRADLEY MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
335 S WINDOMERE AVE, DALLAS, TX 75208-5821
(214) 413-4028
Mailing address
335 S WINDOMERE AVE, DALLAS, TX 75208-5821
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
208423
TX
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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