# PEDIAFLEX THERAPY CENTER, LLC

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

## Provider details

- **NPI number:** 1972686533
- **Authorized official:** MR. MATTHEW KENT LUGINBUHL PT (OWNER/PHYSICAL THERAPIST)
- **Authorized official phone:** (860) 306-6423

## Contact information

- **Practice address:** 465 SILAS DEANE HWY, WETHERSFIELD, CT 06109-2134
- **Practice address phone:** (860) 306-6423
- **Practice address fax:** (860) 875-6423
- **Mailing address:** 84 SNIPSIC LAKE RD, ELLINGTON, CT 06029-3519
- **Mailing address phone:** (860) 306-6423
- **Mailing address fax:** (860) 875-6423

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251P0200X | Pediatric Physical Therapist | — | NULL | Yes |
| 2251P0200X | Pediatric Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 02/27/2012