Organization
PROFESSIONAL THERAPY CONTRACTING SERVIES OF CT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN BRUSH (CREDENTIALING MANAGER)
(718) 819-6805
Entity
Organization
Contact information
Practice address
1250 SUMMER ST, SUITE 204, STAMFORD, CT 06905-5358
(203) 307-4600
(203) 307-4601
Mailing address
2142 UTOPIA PKWY, WHITESTONE, NY 11357-4142
(718) 819-6805
(347) 841-9109
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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