Organization
ELEVATE PHYSIOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY SUDOL BAKER PT, DPT, CFMT, CPT (CEO)
(917) 744-6457
Entity
Organization
Contact information
Practice address
62 SOUTHFIELD AVE, STAMFORD, CT 06902-7229
(917) 744-6457
Mailing address
150 SOUTHFIELD AVE APT 2437, STAMFORD, CT 06902-7771
(917) 744-6457
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/19/2019
Last updated
04/19/2019
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