Reva Mitchell

NPI 1336451913 · on the registry since 2010 · sole proprietor

Practice

Address: 1406 8th St
Port Huron, MI 48060
Phone: (810) 987-1258
Fax: (810) 987-3505
Organisation at this address: Sacred Heart Rehabilitation Center, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 12

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2010-07-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan