| NPI | 1477954964 |
|---|---|
| Former Name | REBECCA CLAIRE MITCHELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1283069) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 41642) |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2020-11-02 |