# FISIO PHYSICAL THERAPY & WELLNESS, LLC

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

## Provider details

- **NPI number:** 1194028779
- **Authorized official:** DR. KARIN WILLIAMS LABANCA PT, DPT (OWNER)
- **Authorized official phone:** (203) 270-2977

## Contact information

- **Practice address:** 141 MOUNT PLEASANT RD, NEWTOWN, CT 06470-1438
- **Practice address phone:** (203) 270-2977
- **Practice address fax:** (203) 841-1245
- **Mailing address:** 33 PAUGUSSETT RD, SUITE B, SANDY HOOK, CT 06482-1503
- **Mailing address phone:** (203) 947-2849

## Taxonomy

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

## Other

- **Enumeration date:** 12/21/2010
- **Last updated:** 03/17/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0402615 | CIGNA | CT |
| 01 | — | 080006688CT05 | ANTHEM | CT |
| 01 | — | 776575 | OPTUM- UNITED HEALTH CARE | CT |