Individual
DR. SHANNON MELLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(860) 302-2686
Mailing address
64 CHAPEL ST, BRISTOL, CT 06010-2310
(860) 302-2686
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/14/2021
Last updated
11/14/2021
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