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JERED MITCHEM
>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1699025692
Individual Registrant: JERED MITCHEM
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
77 HILLCREST AVE LITTLE HOCKING, OH 45742-5294 US
Tel: 740-525-2288 Fax: --
Tel: 740-525-2288 Fax: --
Contact information for business:
77 HILLCREST AVE LITTLE HOCKING, OH 45742-5294 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1699025692
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225200000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapy Assistant | OH | 07741 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
