Individual
JONATHAN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 ATRIUM CT STE B, SELINSGROVE, PA 17870-9019
(570) 372-0707
(570) 372-0799
Mailing address
2 ATRIUM CT STE B, SELINSGROVE, PA 17870-9019
(570) 372-0707
(570) 372-0799
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
—
—
225000000X
Orthotic Fitter
Primary
—
—
Other
Enumeration date
12/08/2014
Last updated
12/08/2014
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