Individual
ANDREA JEAN MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2700 W 30TH AVE, EMPORIA, KS 66801-9100
(620) 343-9285
Mailing address
2700 W 30TH AVE, EMPORIA, KS 66801-9100
(620) 343-9285
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
T-02610
KS
Other
Enumeration date
11/10/2010
Last updated
11/10/2010
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