Individual
JOHN JAY MITMAN
Active
Individual
JOHN JAY MITMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
733
MT
2251S0007X
Sports Physical Therapist
733
MT
Other
Enumeration date
05/08/2008
Last updated
05/08/2008
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