Organization
PRYME PHYSICAL THERAPY & SPORTS MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JOHNSON DPT (OWNER)
(860) 422-0878
Entity
Organization
Contact information
Practice address
12 OCEAN AVE, WEST HAVEN, CT 06516-7048
(203) 561-7714
Mailing address
PO BOX 16573, WEST HAVEN, CT 06516-0983
(860) 422-0878
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/07/2022
Last updated
03/23/2023
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