Mitchell, Andrea Grace

Mitchell, Andrea Grace is an sole proprietor health care provider with primary practice located at 45 Seekonk St , Providence RI 02906-5125. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Mitchell, Andrea Grace can be contacted via phone (401) 230-1126.

Contact Information

Primary practice address
45 Seekonk St Providence RI 02906-5125
Phone: (401) 230-1126
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT01666 Rhode Island
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X PT01666 Rhode Island

Profile Details

NPI number 1114968195
LBN Legal business name Mitchell, Andrea Grace
Credentials MSPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2006
Last updated Jan 11th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114968195 NPPES
Rhode Island Other 27943-1 BCBS
Rhode Island Other 411986 BCBS

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