# MAIN STREET PHYSICAL THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CANTON PHYSICAL THERAPY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1427599414
- **Legal business name:** CANTON PHYSICAL THERAPY
- **Authorized official:** RACHEL DEVLIN (DIRECTOR OF FINANCE AND ADMINISTRAT)
- **Authorized official phone:** (860) 693-6226

## Contact information

- **Practice address:** 36 MAIN ST, TORRINGTON, CT 06790-5303
- **Practice address phone:** (860) 482-4888
- **Practice address fax:** (860) 482-8444
- **Mailing address:** PO BOX 466, CANTON, CT 06019-0466
- **Mailing address phone:** (860) 482-4888
- **Mailing address fax:** (860) 482-8444

## Taxonomy

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

## Other

- **Enumeration date:** 03/10/2017
- **Last updated:** 03/10/2017