Organization
ATHENA NEWTOWN CT LLC
Active
Other names
Newtown Outpatient Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE G. SANTILLI (MANAGER)
(860) 751-3900
Entity
Organization
Contact information
Practice address
139 TODDY HILL RD, SANDY HOOK, CT 06482-1362
(203) 426-5847
Mailing address
135 SOUTH RD, FARMINGTON, CT 06032-2556
(860) 751-3915
(860) 751-3905
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000010207
—
CT
Enumeration date
03/04/2019
Last updated
03/04/2019
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