Organization
TEMPLE P. T. & LIFE SCIENCES
Active
Parent organization
TEMPLE P.T. & LIFE SCIENCES
Organization subpart
Yes
Provider details
NPI number
Legal business name
TEMPLE P.T. & LIFE SCIENCES
Authorized official
GLENN ELIA (CEO)
(203) 407-3576
Entity
Organization
Contact information
Practice address
9 WASHINGTON AVE, HAMDEN, CT 06518-3267
(203) 230-4627
Mailing address
230 GEORGE ST, NEW HAVEN, CT 06510-3224
(203) 498-5980
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/11/2007
Last updated
07/06/2009
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