# HARTFORD HEALTHCARE REHABILITATION NETWORK

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HARTFORD HEALTHCARE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1174749329
- **Legal business name:** HARTFORD HEALTHCARE
- **Authorized official:** MR. ERIC SMULLEN PT (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (860) 696-2550

## Contact information

- **Practice address:** 181 PATRICIA M GENOVA DR, SUITE A200, NEWINGTON, CT 06111-1500
- **Practice address phone:** (860) 696-2550
- **Practice address fax:** (860) 696-2525
- **Mailing address:** 181 PATRICIA M GENOVA DR, SUITE A200, NEWINGTON, CT 06111-1500
- **Mailing address phone:** (860) 696-2550
- **Mailing address fax:** (860) 696-2525

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | CT | — |
| 235Z00000X | Speech-Language Pathologist | — | CT | — |

## Other

- **Enumeration date:** 04/17/2007
- **Last updated:** 05/08/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004212362 | — | CT |