# GLASTONBURY PHYSICAL THERAPY, LLC

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

## Provider details

- **NPI number:** 1598938052
- **Authorized official:** PETER SAVIDGE PT (OWNER)
- **Authorized official phone:** (860) 430-9780

## Contact information

- **Practice address:** 701 HEBRON AVE, SUITE B, GLASTONBURY, CT 06033-2489
- **Practice address phone:** (860) 430-9780
- **Practice address fax:** (860) 430-9781
- **Mailing address:** 701 HEBRON AVE, SUITE B, GLASTONBURY, CT 06033-2489
- **Mailing address phone:** (860) 430-9780
- **Mailing address fax:** (860) 430-9781

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 007000 | CT | Yes |
| 2251S0007X | Sports Physical Therapist | 007000 | CT | — |
| 2251X0800X | Orthopedic Physical Therapist | 007000 | CT | — |

## Other

- **Enumeration date:** 04/04/2008
- **Last updated:** 04/04/2008