# WALLINGFORD PHYSICAL THERAPY

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

## Provider details

- **NPI number:** 1417176462
- **Authorized official:** LYNN VAUGHAN RPT (OWNER)
- **Authorized official phone:** (203) 265-2500

## Contact information

- **Practice address:** 350 CENTER ST, SUITE 104, WALLINGFORD, CT 06492-4243
- **Practice address phone:** (203) 265-2500
- **Practice address fax:** (203) 265-9222
- **Mailing address:** 350 CENTER ST, SUITE 104, WALLINGFORD, CT 06492-4243
- **Mailing address phone:** (203) 265-2500
- **Mailing address fax:** (203) 265-9222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 001746 | CT | Yes |

## Other

- **Enumeration date:** 04/25/2007
- **Last updated:** 08/22/2020