# CENTER FOR PEDIATRIC THERAPY-FAIRFIELD, INC.

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

## Provider details

- **NPI number:** 1073676177
- **Authorized official:** MS. DIANE KINSELLA (BUSINESS MANAGER)
- **Authorized official phone:** (203) 876-2000

## Contact information

- **Practice address:** 1300 POST RD, SUITE 204, FAIRFIELD, CT 06824-6038
- **Practice address phone:** (203) 255-3669
- **Practice address fax:** (205) 255-1173
- **Mailing address:** 203 BROAD ST, UNIT C-2, MILFORD, CT 06460-4751
- **Mailing address phone:** (203) 876-2000
- **Mailing address fax:** (203) 876-1545

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251P0200X | Pediatric Physical Therapist | — | NULL | Yes |
| 2251P0200X | Pediatric Physical Therapist | — | — | Yes |
| 225XP0200X | Pediatric Occupational Therapist | — | NULL | — |
| 225XP0200X | Pediatric Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 12/19/2006
- **Last updated:** 09/11/2025