Organization
PHYSICAL THERAPY AND WELLNESS TREATMENT CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN KENNEY PT (OWNER)
(203) 245-1881
Entity
Organization
Contact information
Practice address
168 BOSTON POST RD, SUITE 3, MADISON, CT 06443-2163
(203) 245-1881
(203) 421-8388
Mailing address
17 CANLEWOOD LA, MADISON, CT 06443-1914
(203) 245-1881
(203) 421-8388
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003246
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003961822
—
CT
Enumeration date
01/24/2007
Last updated
08/21/2013
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