| NPI | 1750770988 |
|---|---|
| Other Name | AMANDA MITCHELL |
| Entity Type | Organization |
| Authorized Contact | AMANDA MITCHELL Massage Therapist 618-531-7325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: IL 001010642) |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2015-01-12 |