# STANGO PHYSICAL THERAPY AT HOME, LLC

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

## Provider details

- **NPI number:** 1407343890
- **Authorized official:** DANIEL C. STANGO MSPT (OWNER)
- **Authorized official phone:** (203) 206-4576

## Contact information

- **Practice address:** 58 LOOP RD, WATERTOWN, CT 06795-1552
- **Practice address phone:** (203) 206-4576
- **Practice address fax:** (860) 417-2457
- **Mailing address:** 58 LOOP RD, WATERTOWN, CT 06795-1552
- **Mailing address phone:** (203) 206-4576
- **Mailing address fax:** (860) 417-2457

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 008214 | CT | Yes |

## Other

- **Enumeration date:** 04/20/2018
- **Last updated:** 04/20/2018