Individual
JODI R MITCHELL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
49 SPRING ST, SCARBOROUGH, ME 04074-8926
(207) 396-5165
(207) 396-5199
Mailing address
49 SPRING ST, SCARBOROUGH, ME 04074-8926
(207) 396-5165
(207) 396-5199
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT202
ME
Other
Enumeration date
06/16/2006
Last updated
07/08/2007
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