Organization
ESSENTIAL PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE A. BOLOGA M.S.,P.T. (PRINCIPAL)
(860) 966-2152
Entity
Organization
Contact information
Practice address
995 HOPMEADOW ST, SIMSBURY, CT 06070-1812
(860) 966-2152
(860) 735-6545
Mailing address
7 ANJA DR, SIMSBURY, CT 06070-1546
(860) 966-2152
(860) 735-6545
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
—
—
Other
Enumeration date
02/16/2011
Last updated
02/16/2011
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