Organization
COMMUNITY PHYSICAL THERAPY
Active
Other names
ADVANCED PHYSICAL THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL T DALEY P.T. (OWNER)
(860) 621-7389
Entity
Organization
Contact information
Practice address
421 WOLCOTT RD, UNIT C, WOLCOTT, CT 06716-2661
(203) 879-0107
Mailing address
360 N MAIN ST STE 9, SOUTHINGTON, CT 06489-2503
(860) 621-7389
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002030
CT
Other
Enumeration date
05/17/2007
Last updated
08/22/2020
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