Organization
ERIC THARALDSON PHYSICAL THERAPY LLC
Active
Other names
PT AT HOME
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC THARALDSON (OWNER)
(860) 712-4876
Entity
Organization
Contact information
Practice address
3 ROBERTS ST, WINDSOR LOCKS, CT 06096-2113
(860) 712-4876
Mailing address
3 ROBERTS ST, WINDSOR LOCKS, CT 06096-2113
(860) 712-4876
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/02/2022
Last updated
03/02/2022
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