Organization
PHYSIO-LAKEVILLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN WALKER PT, DPT (OWNER)
(860) 605-8783
Entity
Organization
Contact information
Practice address
12 SUGAR HILL RD, FALLS VILLAGE, CT 06031-1009
(860) 605-8783
Mailing address
12 SUGAR HILL RD, FALLS VILLAGE, CT 06031-1009
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/07/2020
Last updated
06/07/2020
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