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Organization
GAITWAY PHYSICAL THERAPY OF CONNECTICUT, P.C.
Active
Organization
GAITWAY PHYSICAL THERAPY OF CONNECTICUT, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY S MANGANO M.P.T. (DIRECTOR)
(516) 658-8252
Entity
Organization
Contact information
Practice address
6 ARCADIA LANE, HICKSVILLE, NY 11801-4437
(516) 623-4769
(516) 771-0621
Mailing address
35 EARL DRIVE, MERRICK, NY 11566-1708
(516) 623-4769
(516) 771-0621
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
009263
CT
Other
Enumeration date
02/20/2012
Last updated
02/20/2012
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