Individual
LINDSEY GRACE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
103 EVA ST, TRINITY, TX 75862-7211
(903) 391-3947
(936) 594-8953
Mailing address
PO BOX 1725, TRINITY, TX 75862-1725
(903) 391-3947
(936) 594-8953
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
109545
TX
Other
Enumeration date
06/05/2010
Last updated
06/05/2010
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