Organization
FUNCTIONAL REHAB & FITNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GAIL THERESA HENDERSON MS,ATC,PT,CCRP (OWNER)
(860) 355-5373
Entity
Organization
Contact information
Practice address
350 LITCHFIELD RD, NEW MILFORD, CT 06776-2003
(860) 355-5373
(860) 355-8171
Mailing address
350 LITCHFIELD RD, NEW MILFORD, CT 06776-2003
(860) 355-5373
(860) 355-8171
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
4346
CT
Other
Enumeration date
11/27/2006
Last updated
08/22/2020
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