Individual
OLGA KOLENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
132 E PUTNAM AVE STE 14, COS COB, CT 06807-2753
(203) 512-4149
(203) 358-0052
Mailing address
11 BERTMOR DR, STAMFORD, CT 06905-2114
(203) 512-4149
(203) 990-3393
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
006882
CT
2251P0200X
Pediatric Physical Therapist
006882
CT
261QP2000X
Physical Therapy Clinic/Center
Primary
006882
CT
Other
Enumeration date
11/03/2021
Last updated
12/09/2024
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