Organization
WALLINGFORD PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN VAUGHAN RPT (OWNER)
(203) 265-2500
Entity
Organization
Contact information
Practice address
350 CENTER ST, SUITE 104, WALLINGFORD, CT 06492-4243
(203) 265-2500
(203) 265-9222
Mailing address
350 CENTER ST, SUITE 104, WALLINGFORD, CT 06492-4243
(203) 265-2500
(203) 265-9222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001746
CT
Other
Enumeration date
04/25/2007
Last updated
08/22/2020
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