Organization
OPTIMAL PERFORMANCE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA ST. LOUIS PT (OWNER)
(860) 268-3226
Entity
Organization
Contact information
Practice address
18 OLD TOWN RD, VERNON, CT 06066-2308
(860) 268-3226
(860) 499-5356
Mailing address
18 OLD TOWN RD, VERNON, CT 06066-2308
(860) 268-3226
(860) 499-5356
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
006488
CT
Other
Enumeration date
04/21/2009
Last updated
04/21/2009
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