Individual
LAUREN L MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
693 DECKER LN, CREVE COEUR, MO 63141-6766
(314) 997-4532
Mailing address
1217 WYNCREST DR, BALLWIN, MO 63011-4411
(141) 788-0010
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2006030655
MO
Other
Enumeration date
09/09/2020
Last updated
09/09/2020
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