Individual
LINDA C MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8340 65TH ST, VERO BEACH, FL 32967-7103
(772) 538-2351
Mailing address
8340 65TH ST, VERO BEACH, FL 32967-7103
(772) 538-2351
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35106
DEPT MEDICAL QUAL ASSURAN
FL
01
—
Y2512
BLUE CROSS PROVIDER
FL
Enumeration date
04/24/2007
Last updated
07/08/2007
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