Individual
VICTORIA C MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
304 E 6TH AVE, ROME, GA 30161-6000
(706) 378-9044
(706) 378-9046
Mailing address
304 E 6TH AVE, ROME, GA 30161-6000
(706) 378-9044
(706) 378-9046
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005613
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT005613
LICENSE
GA
Enumeration date
02/04/2013
Last updated
02/04/2013
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