Individual
MISS JANA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1600 N MAIN AVE, LOVINGTON, NM 88260-2813
(575) 396-6611
Mailing address
6858 REED RD, LOVINGTON, NM 88260-8584
(806) 683-5022
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
109992
TX
225X00000X
Occupational Therapist
Primary
OT3757
NM
Other
Enumeration date
02/05/2007
Last updated
09/17/2024
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