# SLC REHABILITATION

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

## Provider details

- **NPI number:** 1386236875
- **Authorized official:** MARISSA DELA CRUZ PT, DPT (CEO)
- **Authorized official phone:** (203) 822-4144

## Contact information

- **Practice address:** 42 OXFORD CT, STAMFORD, CT 06902-3619
- **Practice address phone:** (203) 822-4144
- **Mailing address:** 42 OXFORD CT, STAMFORD, CT 06902-3619

## Taxonomy

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

## Other

- **Enumeration date:** 02/06/2021
- **Last updated:** 02/06/2021