Organization
FULL SPECTRUM THERAPEUTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY A MANGE OTR/L (OCCUPATIONAL THERAPIST/OWNER)
(860) 919-1222
Entity
Organization
Contact information
Practice address
4 SUMMIT RD, SUITE C, PROSPECT, CT 06712-1485
(203) 758-0755
(203) 758-0754
Mailing address
4 SUMMIT RD, SUITE C, PROSPECT, CT 06712-1485
(203) 758-0755
(203) 758-0754
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
001841
CT
Other
Enumeration date
05/04/2009
Last updated
05/04/2009
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