Tracey Wallace Mitchell, L.P.T.A.
NPI #1992923817 in South Boston, Virginia
Provider Information
- NPI Number
- 1992923817
- Entity Type
- Individual
- Name
- Tracey Wallace Mitchell, L.P.T.A.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- L.P.T.A.
- Enumeration Date
- Apr 23, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 103 ROSEHILL DR
- City
- South Boston
- State
- Virginia
- ZIP Code
- 24592-4843
- Phone
- (434) 572-4906
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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