Individual
GREGORY MITRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
5629 PLANK RD STE 107, FREDERICKSBURG, VA 22407
(540) 445-0206
(540) 739-7473
Mailing address
PO BOX 69030, BALTIMORE, MD 21264-9030
(757) 873-2302
(757) 873-2306
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2305210462
VA
Other
Enumeration date
07/29/2016
Last updated
06/06/2018
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