Individual
MRS. KELLIE DENISE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
16900 W CALLE CARMELA, MARANA, AZ 85653-9215
(520) 682-6153
Mailing address
16900 W CALLE CARMELA, MARANA, AZ 85653-9215
(520) 682-6153
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1726
AZ
Other
Enumeration date
01/23/2009
Last updated
01/23/2009
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