Individual
ALICIA MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOT
Contact information
Practice address
3310 TATES CREEK RD, LEXINGTON, KY 40502-3487
(859) 266-2129
Mailing address
3310 TATES CREEK RD, LEXINGTON, KY 40502-3487
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
173502
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
173502
KY OT LICENCE
KY
Enumeration date
01/29/2020
Last updated
01/29/2020
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