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Individual

DR. PATRICK JAMES MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT, PT, OCS

Contact information

Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 808-2226
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 808-5941

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2012023603
MO
2251X0800X
Orthopedic Physical Therapist
Primary
2012023603
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2012023603
PT LICENSE NUMBER
MO
Enumeration date
07/27/2012
Last updated
10/27/2022
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