# INTEGRATIVE WELLNESS AND PHYSICAL THERAPY, P.C.

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

## Provider details

- **NPI number:** 1417374463
- **Authorized official:** AYELET CONNELL-GIAMMATTEO PHD,PT,IMT,C (PRACTICE MANAGER)
- **Authorized official phone:** (860) 657-4471

## Contact information

- **Practice address:** 34 JEROME AVE, SUITE 305, BLOOMFIELD, CT 06002-2463
- **Practice address phone:** (860) 519-1916
- **Practice address fax:** (860) 986-6756
- **Mailing address:** 34 JEROME AVE, SUITE 305, BLOOMFIELD, CT 06002-2463
- **Mailing address phone:** (860) 519-1916
- **Mailing address fax:** (860) 986-6756

## Taxonomy

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

## Other

- **Enumeration date:** 03/27/2014
- **Last updated:** 07/16/2014