Organization
STRIVE2LIVEWELL, LLC
Active
Other names
Strive2LiveWell Physical Therapy & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
JASON BENNETT MYERSON PT, DPT, OCS (FOUNDER/PHYSICAL THERAPIST)
(732) 618-7010
Entity
Organization
Contact information
Practice address
216 LEAVENWORTH RD, SHELTON, CT 06484-1809
(732) 618-7010
Mailing address
11 PEQUOT CT, MONROE, CT 06468-1296
(732) 618-7010
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007907
PHYSICAL THERAPY LICENSE
CT
Enumeration date
01/29/2021
Last updated
01/29/2021
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