Provider Demographics
NPI:1841464815
Name:MITCHELL, ROSEMAE D'HAITI (MS)
Entity type:Individual
Prefix:MRS
First Name:ROSEMAE
Middle Name:D'HAITI
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:ROSEMAE
Other - Middle Name:D'HAITI
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9600 VETERANS DR
Mailing Address - Street 2:BUILDING 148
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98493-0001
Mailing Address - Country:US
Mailing Address - Phone:253-583-1634
Mailing Address - Fax:253-589-4042
Practice Address - Street 1:9600 VETERANS DR
Practice Address - Street 2:BUILDING 148
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98493-0001
Practice Address - Country:US
Practice Address - Phone:253-583-1634
Practice Address - Fax:253-589-4042
Is Sole Proprietor?:No
Enumeration Date:2008-04-21
Last Update Date:2008-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor