Doctor Name: | DUNCAN T MITCHELL |
NPI Number: | 1114335403 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, D.P.T |
License Number: | 41456 |
Business Practice Address: | 8261 La Jolla Scenic Dr N La Jolla, CA - 920372218 |
Business Phone Number: | 5032672406 |
Business Fax Number: | |
Mailing Address: | 737 Pearl St, Suite 108 LA JOLLA |
State: | CA |
Postal Code: | 920370056 |
Phone Number: | 8584562114 |
Fax Number: | 8584562103 |
NPI Enumeration Date: | 07/30/2014 |
NPI Last Update Date: | 07/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 41456 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |