# PREMIER PHYSICAL THERAPY AND WELLNESS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Premier Physical Therapy of Norwalk
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356359012
- **Authorized official:** MARYANNE NOLAN (DIRECTOR)
- **Authorized official phone:** (212) 861-2630

## Contact information

- **Practice address:** 346 MAIN AVE, NORWALK, CT 06851-1510
- **Practice address phone:** (203) 847-4400
- **Practice address fax:** (203) 847-4442
- **Mailing address:** 1536 3RD AVE, 5TH FL, NEW YORK, NY 10028-2167
- **Mailing address phone:** (212) 861-2630
- **Mailing address fax:** (212) 861-2685

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 08/04/2006
- **Last updated:** 11/26/2014