Kidada A Mitchell, OTR

NPI #1972587632 in Killeen, Texas

Provider Information

NPI Number: 1972587632
Entity Type: Individual
Name: Kidada A Mitchell, OTR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: Dec 5, 2005
Last Updated: Sep 5, 2008

Practice Location

Address: 3816 S CLEAR CREEK RD
Address 2: SUITE B
City: Killeen
State: Texas
ZIP Code: 76549-4400
Phone: (254) 699-3933

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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