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Individual

JOLEEN MITALY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
49 CEDAR HILL DR, WINDSOR, VT 05089-9470
(207) 837-5734
Mailing address
PO BOX 233, ASCUTNEY, VT 05030-0233

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
072.0134422
VT
225X00000X
Occupational Therapist
Primary
3324
NH
225X00000X
Occupational Therapist
OT4144
ME

Other

Enumeration date
06/09/2022
Last updated
07/15/2024
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