Organization
SDM PT ATC LLC
Active
Other names
Outlet Health Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL MCMULLEN PT, ATC (OWNER)
(862) 268-5647
Entity
Organization
Contact information
Practice address
146 ROYAL OAK DR, DURHAM, CT 06422-1411
(862) 268-5647
Mailing address
146 ROYAL OAK DR, DURHAM, CT 06422-1411
(862) 268-5647
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
04/18/2025
Last updated
04/18/2025
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