Organization
FORMULA PHYSICAL THERAPY, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DANIELLE M FAUX PT (PRESIDENT)
(203) 642-3813
Entity
Organization
Contact information
Practice address
27 LOIS ST, NORWALK, CT 06851-4404
(203) 642-3813
(203) 642-3815
Mailing address
27 LOIS ST, NORWALK, CT 06851-4404
(203) 642-3813
(203) 642-3815
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/11/2011
Last updated
09/11/2011
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