Individual
JAMES MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
63995 THORN RD, NORTH LIBERTY, IN 46554-9174
(574) 274-1231
Mailing address
63995 THORN RD, NORTH LIBERTY, IN 46554-9174
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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