Organization
UNIFIED THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD GREGORY VENZIE DPT (PHYSICAL THERAPIST/OWNER)
(860) 644-2335
Entity
Organization
Contact information
Practice address
869 SULLIVAN AVE, SUITE 7, SOUTH WINDSOR, CT 06074-2007
(860) 644-2335
Mailing address
915 SULLIVAN AVE STE 3, SOUTH WINDSOR, CT 06074-2165
(860) 644-2335
(888) 974-2148
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
007148
CT
225XP0200X
Pediatric Occupational Therapist
4793
CT
235Z00000X
Speech-Language Pathologist
002397
CT
Other
Enumeration date
11/21/2016
Last updated
04/13/2020
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