Individual
MATTHEW MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
800 E LANCASTER AVE, VILLANOVA, PA 19085-1603
(610) 519-4594
(610) 519-7728
Mailing address
7251 N 21ST ST, PHILADELPHIA, PA 19138-2101
(215) 869-9910
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT006152
PA
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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