# CANTWELL PHYSICAL THERAPY, LLC

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

## Provider details

- **NPI number:** 1164877593
- **Authorized official:** MRS. BIANCA CANTWELL PT,DPT (OWNER)
- **Authorized official phone:** (860) 556-9395

## Contact information

- **Practice address:** 180 WESTMINSTER RD, CANTERBURY, CT 06331-1431
- **Practice address phone:** (860) 556-9395
- **Practice address fax:** (860) 556-9396
- **Mailing address:** PO BOX 483, CANTERBURY, CT 06331-0483
- **Mailing address phone:** (860) 556-9395
- **Mailing address fax:** (860) 556-9396

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 9736 | CT | Yes |

## Other

- **Enumeration date:** 05/04/2016
- **Last updated:** 10/19/2016