Organization
CENTER FOR PEDIATRIC THERAPY - GREENWICH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE KACIN KINSELLA (BUSINESS MANAGER)
(203) 876-2000
Entity
Organization
Contact information
Practice address
530 OLD POST RD #3, GREENWICH, CT 06830
(203) 618-9090
(203) 876-1545
Mailing address
203 BROAD ST, UNIT C-2, MILFORD, CT 06460-4751
(203) 876-2000
(203) 876-1545
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/20/2006
Last updated
09/11/2025
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