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Organization
SUBURBAN PHYSICAL THERAPY & SPORTS MEDICINE CENTER, LLC
Active
Organization
SUBURBAN PHYSICAL THERAPY & SPORTS MEDICINE CENTER, LLC
Active
Other names
SUBURBAN PHYSICAL THERAPY & SPORTS MEDICINE CENTER, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS MICHAEL SWEENEY RPT (MEMBER DIRECTOR OF PT)
(860) 721-9801
Entity
Organization
Contact information
Practice address
506 CROMWELL AVE, STE 103, ROCKY HILL, CT 06067-1851
(860) 721-9801
(860) 721-8475
Mailing address
506 CROMWELL AVE, STE 103, ROCKY HILL, CT 06067-1851
(860) 721-9801
(860) 721-8475
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
2251G0304X
Geriatric Physical Therapist
—
NULL
2251G0304X
Geriatric Physical Therapist
—
—
2251N0400X
Neurology Physical Therapist
—
NULL
2251N0400X
Neurology Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
NULL
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
NULL
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
05/27/2005
Last updated
06/20/2018
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