| NPI | 1598263642 |
|---|---|
| Other Name | ANGIE MARIE MITCHELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 16981) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 004006) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2018-01-23 |