NPI 1740940782

Jeremy Tulledge Mitchell, PT

Practitioner Physical Medicine & Rehabilitation Physician Colchester, CT

Practice location

Address: 171 Norwich Ave, Colchester, CT 06415-1274
Phone: (860) 537-3014
Fax: (860) 537-1420
Mailing address: PO Box 267, Colchester, CT 06415-0267

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 13372 (CT)

Other Physical Medicine & Rehabilitation providers in Connecticut →

Registry record

NPI: 1740940782
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Dec 2021
Record last updated: 17 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.