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Organization
EASTERN REHABILITATION NETWORK
Active
Organization
EASTERN REHABILITATION NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RITA PARISI (CEO)
(860) 667-5480
Entity
Organization
Contact information
Practice address
113 ELM STREET, EASTERN REHABILITATION NETWORK, ENFIELD, CT 06082
(860) 667-5480
Mailing address
181 PATRICIA M. GENOVA DRIVE, EASTERN REHABILITATION NETWORK, NEWINGTON, CT 06111
(860) 667-5480
(860) 667-8416
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
CT
225X00000X
Occupational Therapist
—
CT
235Z00000X
Speech-Language Pathologist
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
076536
MEDICARE PROVIDER ID NUMBER
CT
Enumeration date
09/24/2008
Last updated
09/24/2008
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