# ORTHOPEDIC ASSOCIATES OF WINDHAM COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tri-State Rehab & Sports Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174783690
- **Authorized official:** MR. DONALD ROBERT STONGE RN, MS (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (860) 963-2133

## Contact information

- **Practice address:** 39 KENNEDY DR, PUTNAM, CT 06260-1957
- **Practice address phone:** (860) 963-2133
- **Practice address fax:** (860) 963-8955
- **Mailing address:** 39 KENNEDY DR, PUTNAM, CT 06260-1957
- **Mailing address phone:** (860) 963-2133
- **Mailing address fax:** (860) 963-8955

## Taxonomy

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

## Other

- **Enumeration date:** 06/10/2008
- **Last updated:** 06/10/2008
