# KENT PHYSICAL THERAPY, LLP

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

## Provider details

- **NPI number:** 1083752109
- **Authorized official:** MRS. LAURA MARIE DEBOER PT (OFFICE MANAGER)
- **Authorized official phone:** (860) 927-4559

## Contact information

- **Practice address:** 64 MAPLE ST, KENT, CT 06757-0034
- **Practice address phone:** (860) 927-4559
- **Practice address fax:** (860) 927-3352
- **Mailing address:** PO BOX 34, KENT, CT 06757-0034
- **Mailing address phone:** (860) 927-4559
- **Mailing address fax:** (860) 927-3352

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 004720 | CT | Yes |

## Other

- **Enumeration date:** 02/01/2007
- **Last updated:** 08/22/2020