Organization
YOGABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORA ANN BARENHOLTZT RPT (OWNER)
(203) 292-6365
Entity
Organization
Contact information
Practice address
325 REEF RD, SUITE 209, FAIRFIELD, CT 06824-6537
(203) 292-6365
(203) 292-6366
Mailing address
325 REEF RD, SUITE 209, FAIRFIELD, CT 06824-6537
(203) 292-6365
(203) 292-6366
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003703
CT
225X00000X
Occupational Therapist
00579
CT
Other
Enumeration date
07/01/2009
Last updated
07/01/2009
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