Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | MT220480 | PA |
NPI | 1043779309 |
---|---|
Provider Name | Danielle Mitchel |
First Address | Philadelphia, PA 19140-5103 |
Second Address | Philadelphia, PA 19140-5103 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2019 |
Last Update Date | 22/12/2020 |