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Organization
ALL STAR THERAPY
Active
Organization
ALL STAR THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAGDALEN DANIEL PTA (PHYSICAL THERAPY ASSISTANT)
(860) 677-2934
Entity
Organization
Contact information
Practice address
21 WATERVILLE RD, AVON, CT 06001-2097
(860) 677-2934
Mailing address
21 WATERVILLE RD, AVON, CT 06001-2097
(860) 677-2934
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
000128
CT
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
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