Organization
INDEPENDENCE PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNE M GILBERT P.T. (OWNER THERAPIST)
(860) 536-1001
Entity
Organization
Contact information
Practice address
2440 GOLD STAR HWY, SUITE 201, MYSTIC, CT 06355-1180
(860) 536-1001
Mailing address
2440 GOLD STAR HWY, SUITE 201, MYSTIC, CT 06355-1180
(860) 536-1001
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
07/09/2006
Last updated
12/12/2007
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