# SOL INTEGRATIVE WELLNESS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063953156
- **Authorized official:** EDMOND F CARDINAL JR. RPT (OWNER/PHYSICAL THERAPIST)
- **Authorized official phone:** (401) 585-5779

## Contact information

- **Practice address:** 1353 GOLD STAR HWY, SUITE 106, GROTON, CT 06340-2739
- **Practice address phone:** (860) 446-9705
- **Practice address fax:** (860) 326-5728
- **Mailing address:** 1353 GOLD STAR HWY, SUITE 106, GROTON, CT 06340-2739
- **Mailing address phone:** (860) 446-9705
- **Mailing address fax:** (860) 326-5728

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 007350 | CT | Yes |

## Other

- **Enumeration date:** 03/09/2017
- **Last updated:** 03/09/2017