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Organization
JENMITOLPT LLC
Active
Organization
JENMITOLPT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER MITOL PT (OWNER)
(773) 368-8682
Entity
Organization
Contact information
Practice address
61859 AVONLEA CIR, BEND, OR 97702-9345
(773) 368-8682
Mailing address
61859 AVONLEA CIR, BEND, OR 97702-9345
(773) 368-8682
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/30/2025
Last updated
01/30/2025
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