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Organization

YOGABILITATION

Active
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Organization

YOGABILITATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THEODORA ANN BARENHOLTZT RPT (OWNER)
(203) 292-6365
Entity
Organization

Contact information

Practice address
325 REEF RD, SUITE 209, FAIRFIELD, CT 06824-6537
(203) 292-6365
(203) 292-6366
Mailing address
325 REEF RD, SUITE 209, FAIRFIELD, CT 06824-6537
(203) 292-6365
(203) 292-6366

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003703
CT
225X00000X
Occupational Therapist
00579
CT

Other

Enumeration date
07/01/2009
Last updated
07/01/2009
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