Individual
ELLEN L MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
828 VALERIE PL, VALDOSTA, GA 31605-6426
(229) 247-4673
(229) 247-4673
Mailing address
828 VALERIE PL, VALDOSTA, GA 31605-6426
(229) 247-4673
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0005914
FL
225X00000X
Occupational Therapist
0043
NH
225X00000X
Occupational Therapist
Primary
OT003572
GA
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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