Jacqueline Mitchell, PTA

NPI #1407419179 in Blue Ridge, Georgia

Provider Information

NPI Number: 1407419179
Entity Type: Individual
Name: Jacqueline Mitchell, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Apr 18, 2019
Last Updated: Apr 18, 2019

Practice Location

Address: 990 E MAIN ST STE 7
City: Blue Ridge
State: Georgia
ZIP Code: 30513-4534
Phone: (706) 946-2035

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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