Organization
MANUAL THERAPY SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID J POTUCEK MSPT CFMT (OWNER/FOUNDER)
(203) 557-9111
Entity
Organization
Contact information
Practice address
1300 POST RD STE 210, FAIRFIELD, CT 06824-6038
(203) 557-9111
(203) 601-7110
Mailing address
1300 POST RD STE 210, FAIRFIELD, CT 06824-6038
(203) 557-9111
(203) 601-7110
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/30/2019
Last updated
03/11/2020
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