THERESA MITCHELL

LOGANVILLE, GA
NPI1730233438
Former NameTHERESA MARKS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: GA  OT004492)
Enumeration Date2007-01-22
Last Update Date2007-07-08
Business Address
-- THERESA MITCHELL OTR
311 COOPER RD
LOGANVILLE, GA 30052-4976
Phone number: 678-205-5437
Mailing Address
-- THERESA MITCHELL OTR
1024 ORCHARD CIR
MONROE, GA 30656-7938
Phone number: 678-205-5437