ELLEN L MITCHELL

VALDOSTA, GA
NPI1932273653
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: GA  OT003572)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: NH  0043)
225X00000X Occupational Therapist
(Licence: FL  0005914)
Enumeration Date2006-11-17
Last Update Date2007-07-08
Business Address
-- ELLEN L MITCHELL OTR
828 VALERIE PL
VALDOSTA, GA 31605-6426
Phone number: 229-247-4673
Mailing Address
-- ELLEN L MITCHELL OTR
828 VALERIE PL
VALDOSTA, GA 31605-6426
Phone number: 229-247-4673