Individual
JANE K MITTIGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
(571) 231-2198
Mailing address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
(703) 966-1676
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305208002
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47065477701
—
NE
Enumeration date
06/08/2009
Last updated
03/28/2024
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