Provider Demographics
NPI:1932247780
Name:MITCHELL, FRANCIE LEIGH (PT,MS,PCS)
Entity Type:Individual
Prefix:
First Name:FRANCIE
Middle Name:LEIGH
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:PT,MS,PCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13535 BRIGHTFIELD LN
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20171-3362
Mailing Address - Country:US
Mailing Address - Phone:703-689-4451
Mailing Address - Fax:703-689-9649
Practice Address - Street 1:13535 BRIGHTFIELD LN
Practice Address - Street 2:
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20171-3362
Practice Address - Country:US
Practice Address - Phone:703-689-4451
Practice Address - Fax:703-689-9649
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305001099225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA197913OtherANTHEM