Organization
PHYSICIANS PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN A SIRES PT (OWNER PT)
(203) 937-6150
Entity
Organization
Contact information
Practice address
544 CAMPBELL AVENUE, WEST HAVEN, CT 06516
(203) 937-6150
(203) 937-8517
Mailing address
544 CAMPBELL AVENUE, WEST HAVEN, CT 06516
(203) 937-6150
(203) 937-8517
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019701
ORTHONET HEALTHNET
—
01
—
0V1092
ACS HEALTHNET
—
01
—
130002
AETNA
—
01
—
19701
CIGNA
—
01
—
50PHYS1C1CT01
ANTHEM BCBS
—
01
—
6014071
CONNECTICARE
—
01
—
ANC1174
OXFORD
—
01
—
Q33N61
EMPIRE BCBS
—
Enumeration date
04/04/2007
Last updated
08/22/2020
Update your record
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