Individual
HEATHER MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC/L
Contact information
Practice address
12 STILLWATER AVE, BANGOR, ME 04401-3984
(207) 945-2946
(207) 945-0207
Mailing address
12 STILLWATER AVE, BANGOR, ME 04401-3984
(207) 945-2946
(207) 945-0207
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT419
ME
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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