Organization
NOLA DARIEN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STANLEY JASON GROMELSKI PT, ATC (PRESIDENT)
(917) 687-7934
Entity
Organization
Contact information
Practice address
1540 BOSTON POST RD, DARIEN, CT 06820-5940
(203) 309-5303
(203) 309-5306
Mailing address
1540 BOSTON POST RD, DARIEN, CT 06820-5940
(203) 309-5303
(203) 309-5306
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
009620
CT
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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