# CANDLEWOOD PHYSICAL THERAPY AND FITNESS, LLC

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

## Provider details

- **NPI number:** 1942638473
- **Authorized official:** MRS. SANDRA WILSON PT (PHYSICAL THERAPIST OWNER)
- **Authorized official phone:** (203) 313-3923

## Contact information

- **Practice address:** 88 STATE ROUTE 37, UNIT 2, NEW FAIRFIELD, CT 06812-5036
- **Practice address phone:** (203) 313-3923
- **Practice address fax:** (203) 312-0699
- **Mailing address:** 4 ALEXANDRA DR, NEW FAIRFIELD, CT 06812-2731
- **Mailing address phone:** (203) 313-3923
- **Mailing address fax:** (203) 312-0699

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 3001 | CT | Yes |

## Other

- **Enumeration date:** 10/18/2013
- **Last updated:** 10/18/2013