Organization
SUE MALONE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN MALONE (OWNER)
(203) 417-9433
Entity
Organization
Contact information
Practice address
22 SHERWOOD DR, NEW MILFORD, CT 06776-3317
(203) 417-9433
(860) 350-0285
Mailing address
22 SHERWOOD DR, NEW MILFORD, CT 06776-3317
(203) 417-9433
(860) 350-0285
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
004046
CT
261QP2000X
Physical Therapy Clinic/Center
Primary
004046
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004046
PHYSICAL THERAPY LICENSE
CT
Enumeration date
04/06/2009
Last updated
06/15/2009
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