# VALLEY MEDICAL GROUP

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

## Provider details

- **NPI number:** 1134367261
- **Authorized official:** MS. JUDITH FRAYDA ABRAHAM R.P.T. (PHYSICAL THERAPIST)
- **Authorized official phone:** (860) 693-6951

## Contact information

- **Practice address:** 141 DOWD AVE, CANTON, CT 06019-2401
- **Practice address phone:** (860) 693-6951
- **Practice address fax:** (860) 693-8459
- **Mailing address:** 141 DOWD AVE, CANTON, CT 06019-2401
- **Mailing address phone:** (860) 693-6951
- **Mailing address fax:** (860) 693-8459

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 017769 | CT | — |
| 225100000X | Physical Therapist | 002067 | CT | Yes |

## Other

- **Enumeration date:** 01/27/2009
- **Last updated:** 01/27/2009