# CHESHIRE FITNESS ZONE, LLC

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

## Provider details

- **NPI number:** 1205961547
- **Authorized official:** MR. CRAIG M. GOLDSTEIN PT (OWNER)
- **Authorized official phone:** (203) 250-9663

## Contact information

- **Practice address:** 382 S MAIN ST, CHESHIRE, CT 06410-1379
- **Practice address phone:** (203) 250-9663
- **Practice address fax:** (203) 699-9641
- **Mailing address:** 382 S MAIN ST, CHESHIRE, CT 06410-1379
- **Mailing address phone:** (203) 250-9663
- **Mailing address fax:** (203) 699-9641

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 005678 | CT | — |
| 2251P0200X | Pediatric Physical Therapist | 005678 | CT | Yes |
| 225XP0200X | Pediatric Occupational Therapist | 002758 | CT | — |
| 235Z00000X | Speech-Language Pathologist | 003550 | CT | — |

## Other

- **Enumeration date:** 02/23/2007
- **Last updated:** 06/29/2020