Individual
MRS. TERESA ANN MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
701 N WEINBACH AVE, SUITE 310, EVANSVILLE, IN 47711-5990
(812) 479-3099
(812) 479-3099
Mailing address
5205 WESTLAKE DR, EVANSVILLE, IN 47712-7201
(812) 424-2417
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05001914A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000090420
ANTHEM
IN
Enumeration date
07/07/2006
Last updated
07/08/2007
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