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Organization

WHOLEBODY WELLNESS AND PHYSICAL THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAROL M GORDON (OWNER)
(860) 916-5497
Entity
Organization

Contact information

Practice address
78 EASTERN BLVD, GLASTONBURY, CT 06033-4325
(860) 916-5497
Mailing address
36 FOX DEN RD, GLASTONBURY, CT 06033-4163
(860) 916-5497

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002520
CT

Other

Enumeration date
06/20/2014
Last updated
06/20/2014
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