Individual
JILL MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
12303 HIGHWAY 49, GULFPORT, MS 39503-2780
(228) 832-6221
(228) 832-4033
Mailing address
12303 HIGHWAY 49, GULFPORT, MS 39503-2780
(228) 832-6221
(228) 832-4033
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4339
MS
Other
Enumeration date
06/20/2012
Last updated
06/20/2012
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