Organization
BODY FLEX PHYSICAL THERAPY LLC
Active
Other names
Body Flex Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANET S COLONGHI PT (OWNER/PT)
(860) 759-2011
Entity
Organization
Contact information
Practice address
28 KRISTEN DR, PORTLAND, CT 06480-1153
(860) 759-2011
(860) 342-4104
Mailing address
595 MAIN ST, PORTLAND, CT 06480-1156
(860) 759-2011
(860) 342-4104
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002972
CT
2251G0304X
Geriatric Physical Therapist
002972
CT
2251P0200X
Pediatric Physical Therapist
002972
CT
2251X0800X
Orthopedic Physical Therapist
002972
CT
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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