# CRESCENT MOON CARE LLC

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

## Provider details

- **NPI number:** 1174108393
- **Authorized official:** JANELL TARTAGLIA (OWNER)
- **Authorized official phone:** (203) 788-0009

## Contact information

- **Practice address:** 259 ALBANY TPKE STE 5, CANTON, CT 06019-2557
- **Practice address phone:** (203) 788-0009
- **Mailing address:** 61 PARK RD, BARKHAMSTED, CT 06063-4119

## Taxonomy

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

## Other

- **Enumeration date:** 03/10/2021
- **Last updated:** 10/17/2024