# SPARGO PHYSICAL THERAPY LLC

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

## Provider details

- **NPI number:** 1366909541
- **Authorized official:** MOLLY SPARGO DPT (OWNER/PHYSICAL THERAPIST)
- **Authorized official phone:** (860) 921-8325

## Contact information

- **Practice address:** 665 TERRYVILLE AVE UNIT 1, BRISTOL, CT 06010-4078
- **Practice address phone:** (860) 921-8325
- **Mailing address:** 665 TERRYVILLE AVE UNIT 1, BRISTOL, CT 06010-4078
- **Mailing address phone:** (860) 921-8325

## Taxonomy

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

## Other

- **Enumeration date:** 02/25/2019
- **Last updated:** 04/04/2019