| NPI | 1891125779 |
|---|---|
| Former Name | JILLIAN M MITCHELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070023390) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 0013122) |
| 225100000X Physical Therapist (Licence: NC P14456) | |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2018-03-17 |