# IN-HOME PHYSICAL THERAPY SERVICE LLC

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

## Provider details

- **NPI number:** 1306240866
- **Authorized official:** DR. MAHMOUD ELKALYOBI PT, MSPT, DPT (OWNER/PHYSICAL THERAPIST)
- **Authorized official phone:** (203) 930-0539

## Contact information

- **Practice address:** 19 2ND AVE, DANBURY, CT 06810-5614
- **Practice address phone:** (203) 930-0539
- **Mailing address:** 19 2ND AVE, DANBURY, CT 06810-5614
- **Mailing address phone:** (203) 930-0539

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 005491 | CT | Yes |

## Other

- **Enumeration date:** 10/13/2014
- **Last updated:** 10/13/2014