Organization
CENTER FOR PEDIATRIC THERAPY-FAIRFIELD, INC.
Active
Parent organization
CENTER FOR PEDIATRIC THERAPY-FAIRFIELD, INC.
Other names
Center for Pediatric Therapy-Darien
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTER FOR PEDIATRIC THERAPY-FAIRFIELD, INC.
Authorized official
DIANE KACIN (BUSINESS MANAGER)
(203) 255-3669
Entity
Organization
Contact information
Practice address
455 POST RD STE 202, DARIEN, CT 06820-3614
(203) 424-2584
(203) 202-7310
Mailing address
55 WALLS DR STE 204, FAIRFIELD, CT 06824-5163
(203) 255-3669
(203) 255-1173
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0404140
ORTHONET PROVIDER ID
CT
Enumeration date
01/09/2018
Last updated
01/09/2018
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