Organization
BENCHMARK PEDIATRIC REHABILITATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCELINA FERNANDES DPT (OWNER)
(203) 257-7322
Entity
Organization
Contact information
Practice address
33 CORTLAND PL, OXFORD, CT 06478-1362
(203) 257-7322
Mailing address
33 CORTLAND PL, OXFORD, CT 06478-1362
(203) 257-7322
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508599218
—
CT
Enumeration date
07/20/2022
Last updated
07/20/2022
Update your record
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