Organization
SELECT PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN ECKERT (CENTER MANAGER)
(860) 769-6690
Entity
Organization
Contact information
Practice address
510 COTTAGE GROVE RD, BLOOMFIELD, CT 06002-3165
(860) 769-6690
Mailing address
510 COTTAGE GROVE RD, BLOOMFIELD, CT 06002-3165
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
001726
CT
Other
Enumeration date
02/13/2014
Last updated
02/13/2014
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