# THE PHYSICAL THERAPY INSTITUTE, LLC

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

## Provider details

- **NPI number:** 1104092329
- **Authorized official:** MS. LOUISE MARIE ANSELMO PT, MSPT, MSED (OWNER)
- **Authorized official phone:** (203) 967-3200

## Contact information

- **Practice address:** 30 MYANO LANE, SUITE 22, STAMFORD, CT 06902
- **Practice address phone:** (203) 967-3200
- **Practice address fax:** (203) 967-3800
- **Mailing address:** 30 MYANO LANE, SUITE 22, STAMFORD, CT 06902
- **Mailing address phone:** (203) 967-3200
- **Mailing address fax:** (203) 967-3800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 004701 | CT | Yes |

## Other

- **Enumeration date:** 05/07/2008
- **Last updated:** 03/14/2016