Thomas S Mitchell PTA

NPI 1205105483 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1205105483
Gender Male
Enumeration Date 12/18/2011
Last Updated 12/18/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
STE. 710
ANAHEIM CA, 92805-3733, US
Phone (800) 561-5207
Business Location
PO BOX 6183
CORONA CA, 92878-6183, US
Taxonomy Code 225200000X
License State California
License Number AT2383
Remove 1205105483 NPI Number

According to our database, Mr. Thomas S Mitchell PTA NPI is 1205105483, taxonomy code is 225200000X and license number is AT2383, license state is located at California. Thomas S Mitchell PTA physically located at 300 S Harbor Blvd, Anaheim CA, 92805-3733. NPI Number Thomas S Mitchell PTA has the Individual type.

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1205105483 NPI number is provided on an as is basis without warranty of any kind. 1205105483 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas S Mitchell PTA are for informational purposes only.