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Organization
CHESHIRE FITNESS ZONE, LLC
Active
Organization
CHESHIRE FITNESS ZONE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG M. GOLDSTEIN PT (OWNER)
(203) 250-9663
Entity
Organization
Contact information
Practice address
382 S MAIN ST, CHESHIRE, CT 06410-1379
(203) 250-9663
(203) 699-9641
Mailing address
382 S MAIN ST, CHESHIRE, CT 06410-1379
(203) 250-9663
(203) 699-9641
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
005678
CT
2251P0200X
Pediatric Physical Therapist
Primary
005678
CT
225XP0200X
Pediatric Occupational Therapist
002758
CT
235Z00000X
Speech-Language Pathologist
003550
CT
Other
Enumeration date
02/23/2007
Last updated
06/29/2020
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