Organization
MISSION REHABILITATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CECILIA MITCHELL PT (OWNER / PHYSICAL THERAPIST)
(806) 792-7125
Entity
Organization
Contact information
Practice address
1901 W LOOP 289, SUITE 3, LUBBOCK, TX 79407-1713
(806) 792-7125
(806) 792-7121
Mailing address
1901 W LOOP 289, SUITE 3, LUBBOCK, TX 79407-1713
(806) 792-7125
(806) 792-7121
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
629990000
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155968401
—
TX
Enumeration date
08/30/2005
Last updated
08/01/2008
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