Organization
COMMUNITY THERAPEUTIX PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY F STELIK OTR/L OTR/L (DIRECTOR/OWNER)
(860) 848-9157
Entity
Organization
Contact information
Practice address
601 BROAD ST # B, NEW LONDON, CT 06320-2544
(860) 848-4180
(860) 574-9393
Mailing address
601 BROAD ST # B, NEW LONDON, CT 06320-2544
(860) 848-4180
(860) 574-9393
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
001446
CT
171100000X
Acupuncturist
—
—
224Z00000X
Occupational Therapy Assistant
Primary
—
—
225100000X
Physical Therapist
—
CT
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
CT
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
001800
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2V7212
HEALTHNET GROUP ID
CT
Enumeration date
01/25/2007
Last updated
02/04/2021
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