# REGIONAL PHYSICAL MANUAL THERAPY

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

## Provider details

- **NPI number:** 1194853887
- **Authorized official:** MATTHEW CONNELL-GIAMMATTEO (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (860) 243-6571

## Contact information

- **Practice address:** 1 NORTHWESTERN DR, SUITE 101, BLOOMFIELD, CT 06002-3400
- **Practice address phone:** (860) 243-6571
- **Practice address fax:** (860) 243-6579
- **Mailing address:** 1 NORTHWESTERN DR, SUITE 101, BLOOMFIELD, CT 06002-3400
- **Mailing address phone:** (860) 243-6571
- **Mailing address fax:** (860) 243-6579

## Taxonomy

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

## Other

- **Enumeration date:** 03/02/2007
- **Last updated:** 04/18/2012