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NPI Code Detail

MEDICARE: MS. MARGARET ANN MITCHELL OTR

MEDICARE: MS. MARGARET ANN MITCHELL OTR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist000468MO

General Provider Information

NPI Number : 1366442378
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARGARET ANN MITCHELL OTR
Provider Business Mailing Address
First Line : 1216 TARA LN
Second Line :
City : SAINT CHARLES
State : MO
Zip : 63304-6777
Country : US
Telephone Number : 636-447-9689
Fax Number :
Provider Business Practice Location Address
First Line : 1216 TARA LN
Second Line :
City : SAINT CHARLES
State : MO
Zip : 63304-6777
Country : US
Telephone Number : 636-447-9689
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2005
Last Update Date : 07/08/2007

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