Organization
PANACEA PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMED MOUSTAFA SHARAF DPT (PHYSICAL THERAPIST)
(860) 726-8163
Entity
Organization
Contact information
Practice address
50 EAST ST N, SUFFIELD, CT 06078-2400
(860) 726-8163
Mailing address
50 EAST ST N, SUFFIELD, CT 06078-2400
(860) 726-8163
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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