Individual
CHARLENE M MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
625 AFRICA RD STE 160, WESTERVILLE, OH 43082-9830
(614) 392-2812
(614) 392-2816
Mailing address
655 AFRICA RD, WESTERVILLE, OH 43082-9808
(740) 972-1437
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT.013842
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2040428
—
OH
Enumeration date
10/16/2012
Last updated
09/26/2019
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