Organization
CENTER FOR PEDIATRIC THERAPY-FAIRFIELD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE KINSELLA (BUSINESS MANAGER)
(203) 876-2000
Entity
Organization
Contact information
Practice address
1300 POST RD, SUITE 204, FAIRFIELD, CT 06824-6038
(203) 255-3669
(205) 255-1173
Mailing address
203 BROAD ST, UNIT C-2, MILFORD, CT 06460-4751
(203) 876-2000
(203) 876-1545
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
12/19/2006
Last updated
09/11/2025
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