Organization
THERAPY UNLIMITED-CHILDREN'S THERAPY CENTER
Active
Other names
Jumpstart Therapy & Fitness Network
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE RISIGO-WICKLINE (OWNER)
(860) 945-3012
Entity
Organization
Contact information
Practice address
900 MAIN ST, OAKVILLE, CT 06779-1999
(860) 945-3012
(860) 945-9854
Mailing address
P.O BOX 425, WATERTOWN, CT 06795-0425
(860) 945-3012
(860) 945-9854
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
CT
133V00000X
Registered Dietitian
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004186111
—
CT
Enumeration date
02/27/2007
Last updated
11/18/2011
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