Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DONITA MITCHELL-GAGE, CERTIFIED HAIR LOSS
Active Sole ProprietorDONITA MITCHELL-GAGE, CERTIFIED HAIR LOSS is a Physical Therapist Assistant healthcare provider located in BOLINGBROOK, Illinois. NPI 1477943736 is currently active in the NPPES registry. Verify at CMS.
Physical Therapist Assistant · BOLINGBROOK, IL
Registration Details
- NPI Number
- 1477943736
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 26, 2015 (11.361980703603 yrs)
- Last Updated
- Apr 8, 2015
- License
-
012.008279 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
619 E BOUGHTON RDSTE 143-IIBOLINGBROOK, IL, 604402486Browse IL providers · Browse ZIP 60440
- Phone
- 7085160128
- Fax
- 8157826900
- Primary Specialty
-
Physical Therapist Assistant
1744P3200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.