# STRETCH PEDIATRIC THERAPY AND CREATIVE MOVEMENT STUDIO, LLC

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

## Provider details

- **NPI number:** 1912313511
- **Authorized official:** DR. ALICIA BERGER HARRIMAN DPT (OWNER / DIRECTOR)
- **Authorized official phone:** (860) 227-9855

## Contact information

- **Practice address:** 199 SHUNPIKE RD, CROMWELL, CT 06416-1142
- **Practice address phone:** (860) 227-9855
- **Mailing address:** 199 SHUNPIKE RD, CROMWELL, CT 06416-1142

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251P0200X | Pediatric Physical Therapist | 007255 | CT | Yes |

## Other

- **Enumeration date:** 07/03/2014
- **Last updated:** 07/03/2014