Phillip G Mitchell, OT
Occupational Therapist in Madison, WI. Individual provider (NPI-1).
NPI number1114786142
StatusActive
Last updated in NPPESMar 13, 2024
Details
- NPI
- 1114786142
- Entity type
- Individual (NPI-1)
- Name
- Phillip G Mitchell
- Credential
- OT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 13, 2024
- Certification date
- Mar 13, 2024
- Last updated
- Mar 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 6627-26 | WI | Yes |
Practice location
202 S Park StMadison, WI 53715-1507
Phone 608-417-8250 · Fax 608-417-8251
Mailing address
202 S Park StMadison, WI 53715-1507
Phone 608-417-8250 · Fax 608-417-8251
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