Tracey Wallace Mitchell L.P.T.A.

NPI 1992923817 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1992923817
Gender Female
Enumeration Date 04/23/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
103 ROSEHILL DR
SOUTH BOSTON VA, 24592-4843, US
Phone (434) 572-4906
Fax
Business Location
1150 JONES FERRY RD
SOUTH BOSTON VA, 24592-6078, US
Phone (434) 476-9630
Fax
Toxanomy
Taxonomy Code 225200000X
License State Virginia
License Number 2306001473
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According to our database, Tracey Wallace Mitchell L.P.T.A. NPI is 1992923817, taxonomy code is 225200000X and license number is 2306001473, license state is located at Virginia. Tracey Wallace Mitchell L.P.T.A. physically located at 103 Rosehill Dr, South Boston VA, 24592-4843. NPI Number Tracey Wallace Mitchell L.P.T.A. has the Individual type.

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1992923817 NPI number is provided on an as is basis without warranty of any kind. 1992923817 is maintained by the National Plan & Provider Enumeration System. The contents of Tracey Wallace Mitchell L.P.T.A. are for informational purposes only.