# BODY FLEX PHYSICAL THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Body Flex Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598009177
- **Authorized official:** MS. JANET S COLONGHI PT (OWNER/PT)
- **Authorized official phone:** (860) 759-2011

## Contact information

- **Practice address:** 28 KRISTEN DR, PORTLAND, CT 06480-1153
- **Practice address phone:** (860) 759-2011
- **Practice address fax:** (860) 342-4104
- **Mailing address:** 595 MAIN ST, PORTLAND, CT 06480-1156
- **Mailing address phone:** (860) 759-2011
- **Mailing address fax:** (860) 342-4104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 002972 | CT | Yes |
| 2251G0304X | Geriatric Physical Therapist | 002972 | CT | — |
| 2251P0200X | Pediatric Physical Therapist | 002972 | CT | — |
| 2251X0800X | Orthopedic Physical Therapist | 002972 | CT | — |

## Other

- **Enumeration date:** 11/20/2012
- **Last updated:** 11/20/2012