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Organization
BIG LEAPS
Active
Organization
BIG LEAPS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SNEHA GOSALIA PT DPT (PHYSICAL THERAPIST)
(203) 614-9382
Entity
Organization
Contact information
Practice address
999 SUMMER ST, SUITE 104, STAMFORD, CT 06905-5546
(203) 614-9382
Mailing address
999 SUMMER ST, SUITE 104, STAMFORD, CT 06905-5546
(203) 614-9382
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
009183
CT
225XP0200X
Pediatric Occupational Therapist
004435
CT
Other
Enumeration date
10/02/2015
Last updated
11/16/2015
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