person
Tanisha L Mitchell
Prosthetics Case Management in Edmond, Oklahoma
NPI 1578065710

Tanisha L Mitchell is a Prosthetics Case Management based in Edmond, OK and is specialized in Prosthetics Case Management. Tanisha L Mitchell practices in Edmond, OK. The NPI Number for Tanisha L Mitchell is 1578065710 and holds a License No. 115055 (Oklahoma).

The current practice location address for Tanisha L Mitchell is 3209 S Broadway Ste 117, Edmond, OK and can be reached out via phone at 405-255-4393.

Location: 3209 S Broadway Ste 117, Edmond, OK, 73013-4062
person
Provider Profile Details
NPI Number
1578065710
Provider Name
Tanisha L Mitchell
Credential
Provider Entity Type
Individual
Gender
Female
Address
3209 S Broadway Ste 117, Edmond, OK, 73013-4062
Phone Number
405-255-4393
Fax Number
Provider Enumeration Date
03/04/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3209 S Broadway Ste 117
City
State
Zip
73013-4062
Phone Number
405-255-4393
Fax Number
person
Provider Business Mailing Address Details
Address
3209 S Broadway Ste 117
City
State
Zip
73013-4062
Phone Number
405-255-4393
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
License No.
115055 (Oklahoma)
Definition
Definition to come...
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