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Organization
REGIONAL PHYSICAL MANUAL THERAPY
Active
Organization
REGIONAL PHYSICAL MANUAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW CONNELL-GIAMMATTEO (DIRECTOR OF OPERATIONS)
(860) 243-6571
Entity
Organization
Contact information
Practice address
1 NORTHWESTERN DR, SUITE 101, BLOOMFIELD, CT 06002-3400
(860) 243-6571
(860) 243-6579
Mailing address
1 NORTHWESTERN DR, SUITE 101, BLOOMFIELD, CT 06002-3400
(860) 243-6571
(860) 243-6579
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/02/2007
Last updated
04/18/2012
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