# PRESTIGE REHAB CT PLLC

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

## Provider details

- **NPI number:** 1619783495
- **Authorized official:** DANIEL REIZIS PT (CEO)
- **Authorized official phone:** (908) 670-7573

## Contact information

- **Practice address:** 36 RUSS ST FL 3, HARTFORD, CT 06106-1520
- **Practice address phone:** (855) 678-8887
- **Practice address fax:** (855) 678-8887
- **Mailing address:** 36 RUSS ST FL 3, HARTFORD, CT 06106-1520
- **Mailing address phone:** (855) 678-8887
- **Mailing address fax:** (855) 678-8887

## Taxonomy

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

## Other

- **Enumeration date:** 12/06/2024
- **Last updated:** 01/15/2025