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NPI Code Detail

MEDICARE: MRS. KATHRYN LYNN MITCHELL MS, OTR/L

MEDICARE:  MRS. KATHRYN LYNN MITCHELL  MS, OTR/L
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
1225XP0200XPediatric Occupational TherapistOT 16013FL

General Provider Information

NPI Number : 1548699879
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATHRYN LYNN MITCHELL MS, OTR/L
Provider Business Mailing Address
First Line : 1421 PINE RIDGE RD STE 120
Second Line :
City : NAPLES
State : FL
Zip : 34109-2116
Country : US
Telephone Number : 239-597-0935
Fax Number : 239-610-1462
Provider Business Practice Location Address
First Line : 1421 PINE RIDGE RD STE 120
Second Line :
City : NAPLES
State : FL
Zip : 34109-2116
Country : US
Telephone Number : 239-597-0935
Fax Number : 239-610-1462
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2013
Last Update Date : 05/23/2023

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