Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRACEY WALLACE MITCHELL, L.P.T.A.
Active Sole ProprietorTRACEY WALLACE MITCHELL, L.P.T.A. is a Occupational Therapist healthcare provider located in SOUTH BOSTON, Virginia. NPI 1992923817 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · SOUTH BOSTON, VA
Registration Details
- NPI Number
- 1992923817
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 23, 2007 (19.28029108502 yrs)
- Last Updated
- Jul 8, 2007
- License
-
2306001473 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
103 ROSEHILL DRSOUTH BOSTON, VA, 245924843Browse VA providers · Browse ZIP 24592
- Phone
- 4345724906
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in SOUTH BOSTON, VA
| Name | Credential | NPI |
|---|---|---|
| MR. PAUL ALEX MITCHELL | PTA | 1427211861 |
| MS. ROBYN TALLEY POTTAGE | LPTA | 1588933030 |
| LAUREN SPENCER | LPTA | 1144794520 |
| KRISTY NASH | — | 1801360144 |
| BRITTANY MOORE | — | 1447714027 |
| JESSICA VELAZQUEZ | PTA | 1962967554 |
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.