| NPI | 1063732527 |
|---|---|
| Former Name | COLLEEN MITCHELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056002724) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IA 00544) |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2015-03-13 |