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NPI Code Detail

MEDICARE: ALISON MITCHELL

MEDICARE: ALISON MITCHELL
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 Therapist05000MD

General Provider Information

NPI Number : 1386762151
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISON MITCHELL
Provider Business Mailing Address
First Line : 4109 ROLAND AVE
Second Line : APT. 2 SOUTH
City : BALTIMORE
State : MD
Zip : 21211-2036
Country : US
Telephone Number : 443-386-7037
Fax Number :
Provider Business Practice Location Address
First Line : 7700 YORK RD
Second Line :
City : TOWSON
State : MD
Zip : 21204-7513
Country : US
Telephone Number : 443-386-7037
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2007
Last Update Date : 07/08/2007

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Directions to “ ALISON MITCHELL ” Practice Location

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