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Individual

JAMES MITCHELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119006510
VA
225X00000X
Occupational Therapist
056.011279
IL
225X00000X
Occupational Therapist
082405
IA
225X00000X
Occupational Therapist
16888
CA
225X00000X
Occupational Therapist
Primary
31003325A
IN
225X00000X
Occupational Therapist
OT 60524054
WA
225X00000X
Occupational Therapist
OT-1436
ID

Other

Enumeration date
02/16/2017
Last updated
02/16/2017
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