# PROHEALTH PHYSICIANS PHYSICAL THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PROHEALTH PHYSICIANS, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1871770230
- **Legal business name:** PROHEALTH PHYSICIANS, INC.
- **Authorized official:** MR. TIM BARNARD (SR. VP ANCILLARY SERVICES)
- **Authorized official phone:** (860) 284-5200

## Contact information

- **Practice address:** 950 YALE AVE, SUITE 39, WALLINGFORD, CT 06492-1858
- **Practice address phone:** (203) 284-9646
- **Practice address fax:** (203) 284-9865
- **Mailing address:** 4 FARM SPRINGS RD, FARMINGTON, CT 06032-2573
- **Mailing address phone:** (860) 284-5200
- **Mailing address fax:** (860) 284-5333

## Taxonomy

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

## Other

- **Enumeration date:** 01/29/2008
- **Last updated:** 01/29/2008
