# EXTEND REHAB LLC

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

## Provider details

- **NPI number:** 1144707274
- **Authorized official:** STEPHEN SURIANO DPT (MANAGER)
- **Authorized official phone:** (475) 279-0838

## Contact information

- **Practice address:** 121 CODFISH HILL RD, BETHEL, CT 06801-3203
- **Practice address phone:** (475) 279-0347
- **Mailing address:** 121 CODFISH HILL RD, BETHEL, CT 06801-3203
- **Mailing address phone:** (475) 279-0347

## Taxonomy

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

## Other

- **Enumeration date:** 07/21/2018
- **Last updated:** 02/26/2019