# PHYSICAL THERAPY CENTER OF MADISON

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Therapeutic Centre
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609970201
- **Authorized official:** MISS MERI L GREENWALD REG PHYS THERAPIST (OWNER PRESIDENT)
- **Authorized official phone:** (203) 245-9293

## Contact information

- **Practice address:** 168 BOSTON POST RD, SUITE 10, MADISON, CT 06443-2163
- **Practice address phone:** (203) 245-9293
- **Practice address fax:** (203) 245-2522
- **Mailing address:** PO BOX 292, MADISON, CT 06443
- **Mailing address phone:** (203) 245-9293
- **Mailing address fax:** (203) 245-2522

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 004132 | CT | Yes |

## Other

- **Enumeration date:** 09/12/2006
- **Last updated:** 04/20/2008