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Organization
HIGGANUM PHYSICAL THERAPY, INC.
Active
Organization
HIGGANUM PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE R. GRASSO RPT (OWNER/THERAPIST)
(860) 345-2622
Entity
Organization
Contact information
Practice address
3A CANDLEWOOD HILL ROAD, HIGGANUM, CT 06441-4202
(860) 345-2622
(860) 345-2626
Mailing address
PO BOX 619, HIGGANUM, CT 06441-0619
(860) 345-2622
(860) 345-2626
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004600
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080004600CT05
ANTHEM BCBS
CT
Enumeration date
02/23/2007
Last updated
10/05/2015
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