Individual
DR. JENNIFER MITOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
946 SW VETERANS WAY STE 100, REDMOND, OR 97756-2700
(541) 527-4386
Mailing address
946 SW VETERANS WAY STE 100, REDMOND, OR 97756-2700
(541) 527-4386
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070015897
IL
225100000X
Physical Therapist
1235920
TX
2251X0800X
Orthopedic Physical Therapist
Primary
64072
OR
Other
Enumeration date
09/29/2009
Last updated
01/30/2025
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