Individual
JONATHON MENDOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
35 RIVER RD, 2ND FLOOR, COS COB, CT 06807-2759
(203) 202-2703
Mailing address
800 POST RD, SUITE 3A, DARIEN, CT 06820-4622
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
038813-1
NY
225100000X
Physical Therapist
14.011135
CT
Other
Enumeration date
07/09/2015
Last updated
08/22/2016
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