# WATERBURY ORTHOPAEDIC ASSOCIATES PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** RESTORE PHYSICAL THERAPY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558563957
- **Authorized official:** ERIC J OLSON MD (PRESIDENT)
- **Authorized official phone:** (203) 755-0163

## Contact information

- **Practice address:** 1211 W MAIN ST, WATERBURY, CT 06708-3106
- **Practice address phone:** (203) 755-0163
- **Practice address fax:** (203) 574-5894
- **Mailing address:** 1211 W MAIN ST, WATERBURY, CT 06708-3106
- **Mailing address phone:** (203) 755-0163
- **Mailing address fax:** (203) 574-5894

## Taxonomy

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

## Other

- **Enumeration date:** 06/05/2007
- **Last updated:** 08/22/2020