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Organization
AMITY PHYSICAL THERAPY LLC
Active
Organization
AMITY PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL F DOW MSPT (DIRECTOR PHYSICAL THERAPIST)
(203) 389-4593
Entity
Organization
Contact information
Practice address
1 BRADLEY RD, SUITE #801, WOODBRIDGE, CT 06525-2285
(203) 389-4593
(203) 389-4609
Mailing address
1 BRADLEY RD, SUITE #801, WOODBRIDGE, CT 06525-2285
(203) 389-4593
(203) 389-4609
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
CT006646
CT
225100000X
Physical Therapist
CT008058
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080006646CT07
BCBS
CT
01
—
20910
ORTHONET
CT
Enumeration date
03/13/2007
Last updated
11/02/2017
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