Organization
CENTRAL PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDITH U. TUMOSA (PRESIDENT)
(860) 966-6696
Entity
Organization
Contact information
Practice address
155 MAIN ST, MANCHESTER, CT 06042-3126
(860) 647-0336
(860) 647-9873
Mailing address
155 MAIN ST, MANCHESTER, CT 06042-3126
(860) 647-0336
(860) 647-9873
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
CT
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004187226
—
CT
Enumeration date
05/23/2006
Last updated
12/14/2010
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