# OTHOPEDIC ASSOCIATES PHYSICAL THERAPY

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

## Provider details

- **NPI number:** 1134491574
- **Authorized official:** LAUREN FRISBIE (CREDENTIALING)
- **Authorized official phone:** (860) 696-2502

## Contact information

- **Practice address:** 2928 MAIN ST, GLASTONBURY, CT 06033-1007
- **Practice address phone:** (860) 549-8975
- **Mailing address:** 181 PATRICIA M GENOVA DR, NEWINGTON, CT 06111-1500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 02/01/2012
- **Last updated:** 02/01/2012