Doctor Name: | MRS. CLOTEE H HENDERSON MITCHELL |
NPI Number: | 1588803035 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 14623 Hawthorne Blvd 400 Lawndale, CA - 902601581 |
Business Phone Number: | 3109705015 |
Business Fax Number: | 3102632653 |
Mailing Address: | 14623 Hawthorne Blvd, 400 LAWNDALE |
State: | CA |
Postal Code: | 902601581 |
Phone Number: | 3109705015 |
Fax Number: | 3102632653 |
NPI Enumeration Date: | 02/06/2009 |
NPI Last Update Date: | 02/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Rehabilitation Practitioner |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |