Individual
GREGORY LEWIS MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1001 ESTATE ROSS SUITE 6, BARBEL PLAZA, SAINT THOMAS, VI 00802
(340) 779-4678
Mailing address
1001 ESTATE ROSS SUITE 6, BARBEL PLAZA, SAINT THOMAS, VI 00802
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
001
VI
225200000X
Physical Therapy Assistant
Primary
160006591
IL
225200000X
Physical Therapy Assistant
2118853
TX
225200000X
Physical Therapy Assistant
TEI004510
PA
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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