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Organization

KRISTIN GODIKSEN PHYSICAL THERAPY AND WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTIN GODIKSEN PT, IMTC (MEMBER)
(860) 930-8230
Entity
Organization

Contact information

Practice address
34 JEROME AVE STE 305, BLOOMFIELD, CT 06002-2463
(860) 431-0902
Mailing address
34 JEROME AVE STE 305, BLOOMFIELD, CT 06002-2463
(860) 431-0902

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
002340
CT

Other

Enumeration date
07/12/2018
Last updated
07/12/2018
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