Organization
MANSFIELD PHYSICAL THERAPY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIA A DONOFRIO RPT (SUPERVISOR OWNER)
(860) 456-8869
Entity
Organization
Contact information
Practice address
175 STAFFORD RD, MANSFIELD CTR, CT 06250-1441
(860) 456-8869
(860) 450-1936
Mailing address
175 STAFFORD RD, MANSFIELD CTR, CT 06250-1441
(860) 456-8869
(860) 450-1936
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001450
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056002
HEALTH NET
CT
01
—
080001450CT02
BLUE CROSS BLUE SHIELD
CT
Enumeration date
12/13/2005
Last updated
08/15/2013
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