# CROSSROADS PHYSICAL THERAPY LLC

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

## Provider details

- **NPI number:** 1134295678
- **Authorized official:** MR. STEPHEN M MORAN RPT (OWNER PHYSICAL THERAPY)
- **Authorized official phone:** (860) 228-0194

## Contact information

- **Practice address:** 106 ROUTE 66 EAST, COLUMBIA, CT 06237
- **Practice address phone:** (860) 228-0194
- **Practice address fax:** (860) 228-2694
- **Mailing address:** 106 ROUTE 66 EAST, COLUMBIA, CT 06237
- **Mailing address phone:** (860) 228-0194
- **Mailing address fax:** (860) 228-2694

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 003926 | CT | Yes |

## Other

- **Enumeration date:** 11/27/2006
- **Last updated:** 01/08/2008