Organization
HARTFORD HEALTHCARE REHABILITATION NETWORK
Active
Parent organization
HARTFORD HEALTHCARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
HARTFORD HEALTHCARE
Authorized official
MR. ERIC SMULLEN PT (EXECUTIVE DIRECTOR)
(860) 696-2550
Entity
Organization
Contact information
Practice address
181 PATRICIA M GENOVA DR, SUITE A200, NEWINGTON, CT 06111-1500
(860) 696-2550
(860) 696-2525
Mailing address
181 PATRICIA M GENOVA DR, SUITE A200, NEWINGTON, CT 06111-1500
(860) 696-2550
(860) 696-2525
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
CT
235Z00000X
Speech-Language Pathologist
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004212362
—
CT
Enumeration date
04/17/2007
Last updated
05/08/2017
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