# RIFKIN PHYSICAL THERAPY & LYMPHEDEMA CENTER, LLC

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

## Provider details

- **NPI number:** 1548501786
- **Authorized official:** MRS. CARMELITA V RIFKIN RPT (OWNER)
- **Authorized official phone:** (203) 758-6569

## Contact information

- **Practice address:** 93 WATERBURY RD, PROSPECT, CT 06712-1223
- **Practice address phone:** (203) 758-6569
- **Practice address fax:** (203) 758-0443
- **Mailing address:** 21 HOLLEY LN, PROSPECT, CT 06712-1484
- **Mailing address phone:** (203) 758-6569
- **Mailing address fax:** (203) 758-0443

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 003514 | CT | Yes |

## Other

- **Enumeration date:** 03/13/2013
- **Last updated:** 03/13/2013