Individual
JENNIFER MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
74 GRAY RD, FALMOUTH, ME 04105-2019
(207) 797-3006
(207) 797-3002
Mailing address
73 NEWTON RD, STE 101, PLAISTOW, NH 03865-2424
(978) 388-7272
(978) 388-7373
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2738
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079016
ANTHEM ME INDIV #
ME
Enumeration date
06/08/2006
Last updated
06/25/2015
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