Organization
WINDSOR PHYSICAL THERAPY
Active
Parent organization
CANTON PHYSICAL THERAPY
Other names
Canton Physical Therapy
Organization subpart
Yes
Provider details
NPI number
Legal business name
CANTON PHYSICAL THERAPY
Authorized official
RACHEL DEVLIN (OFFICE MANAGER)
(860) 693-6226
Entity
Organization
Contact information
Practice address
6 POQUONOCK AVE, WINDSOR, CT 06095-2551
(860) 683-0080
(860) 683-2614
Mailing address
PO BOX 466, CANTON, CT 06019-0466
(860) 683-0080
(860) 683-2614
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251E1200X
Ergonomics Physical Therapist
—
—
2251G0304X
Geriatric Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
04/18/2012
Last updated
06/20/2012
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