Fonda Renee Mitchell, PTA

NPI #1639575434 in El Dorado, Arkansas

Provider Information

NPI Number: 1639575434
Entity Type: Individual
Name: Fonda Renee Mitchell, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Nov 6, 2014
Last Updated: Nov 6, 2014

Practice Location

Address: 208 LILAC DR
City: El Dorado
State: Arkansas
ZIP Code: 71730-8318
Phone: (870) 918-6675

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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