# VILLAGE STREET PHYSICAL THERAPY AND SPORTS MEDICINE P.C.

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

## Provider details

- **NPI number:** 1548441090
- **Authorized official:** JOHN MICHAEL DUFRESNE (OWNER)
- **Authorized official phone:** (203) 562-8140

## Contact information

- **Practice address:** 12 VILLAGE ST, SUITE 10, NORTH HAVEN, CT 06473-3828
- **Practice address phone:** (203) 562-8140
- **Mailing address:** 12 VILLAGE ST, SUITE 10, NORTH HAVEN, CT 06473-3828
- **Mailing address phone:** (203) 562-8140

## Taxonomy

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

## Other

- **Enumeration date:** 11/26/2007
- **Last updated:** 10/13/2011