Organization
STANGO PHYSICAL THERAPY AT HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL C. STANGO MSPT (OWNER)
(203) 206-4576
Entity
Organization
Contact information
Practice address
58 LOOP RD, WATERTOWN, CT 06795-1552
(203) 206-4576
(860) 417-2457
Mailing address
58 LOOP RD, WATERTOWN, CT 06795-1552
(203) 206-4576
(860) 417-2457
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008214
CT
Other
Enumeration date
04/20/2018
Last updated
04/20/2018
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