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Individual

JONATHAN MITCHELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
8905 OCEAN SPRINGS RD, OCEAN SPRINGS, MS 39564-4421
(228) 215-0521
(228) 215-0619
Mailing address
552 MOCKINGBIRD CIR, BRANDON, MS 39047-7363
(662) 614-2870

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6440
MS

Other

Enumeration date
03/10/2022
Last updated
03/10/2022
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