Provider Demographics
NPI:1568656163
Name:MITCHELL, PATRICIA ANTONIA (MS)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:ANTONIA
Last Name:MITCHELL
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Gender:F
Credentials:MS
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Mailing Address - Street 1:593 EDDY ST
Mailing Address - Street 2:HASBRO 122
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02903-4923
Mailing Address - Country:US
Mailing Address - Phone:401-444-6484
Mailing Address - Fax:401-444-6378
Practice Address - Street 1:1 HOPPIN ST
Practice Address - Street 2:CORO WEST S-304
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-4141
Practice Address - Country:US
Practice Address - Phone:401-793-8889
Practice Address - Fax:401-444-8077
Is Sole Proprietor?:No
Enumeration Date:2007-08-28
Last Update Date:2013-03-13
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246W00000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Cardiology
No224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist