Organization
LIBERTY REHAB, LLC
Active
Other names
Liberty Rehab & Patient Aid Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON ANTHONY (OWNER)
(203) 377-1144
Entity
Organization
Contact information
Practice address
49 PERSHING DR STE 10, DERBY, CT 06418-1406
(203) 732-4269
(203) 732-4062
Mailing address
1151 STRATFORD AVE, STRATFORD, CT 06615-6312
(203) 377-1144
(203) 377-2244
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/28/2016
Last updated
07/28/2016
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