Organization
EXTEND REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN SURIANO DPT (MANAGER)
(475) 279-0838
Entity
Organization
Contact information
Practice address
121 CODFISH HILL RD, BETHEL, CT 06801-3203
(475) 279-0347
Mailing address
121 CODFISH HILL RD, BETHEL, CT 06801-3203
(475) 279-0347
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
CT
225X00000X
Occupational Therapist
Primary
—
CT
Other
Enumeration date
07/21/2018
Last updated
02/26/2019
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