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Organization

THE PHYSICAL THERAPY INSTITUTE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LOUISE MARIE ANSELMO PT, MSPT, MSED (OWNER)
(203) 967-3200
Entity
Organization

Contact information

Practice address
30 MYANO LANE, SUITE 22, STAMFORD, CT 06902
(203) 967-3200
(203) 967-3800
Mailing address
30 MYANO LANE, SUITE 22, STAMFORD, CT 06902
(203) 967-3200
(203) 967-3800

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004701
CT

Other

Enumeration date
05/07/2008
Last updated
03/14/2016
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