# EASTERN REHABILITATION NETWORK

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

## Provider details

- **NPI number:** 1205086584
- **Authorized official:** RITA PARISI (CEO)
- **Authorized official phone:** (860) 667-5480

## Contact information

- **Practice address:** 113 ELM STREET, EASTERN REHABILITATION NETWORK, ENFIELD, CT 06082
- **Practice address phone:** (860) 667-5480
- **Mailing address:** 181 PATRICIA M. GENOVA DRIVE, EASTERN REHABILITATION NETWORK, NEWINGTON, CT 06111
- **Mailing address phone:** (860) 667-5480
- **Mailing address fax:** (860) 667-8416

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | CT | Yes |
| 225X00000X | Occupational Therapist | — | CT | — |
| 235Z00000X | Speech-Language Pathologist | — | CT | — |

## Other

- **Enumeration date:** 09/24/2008
- **Last updated:** 09/24/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 076536 | MEDICARE PROVIDER ID NUMBER | CT |