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1639622202
GREGORY MITRO
FREDERICKSBURG, VA
NPI
1639622202
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VA 2305210462)
Enumeration Date
2016-07-29
Last Update Date
2018-06-06
Business Address
GREGORY MITRO PT, DPT
5629 PLANK RD STE 107
FREDERICKSBURG, VA 22407
Phone number: 540-445-0206
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Mailing Address
GREGORY MITRO PT, DPT
PO BOX 69030
BALTIMORE, MD 21264-9030
Phone number: 757-873-2302
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