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Organization

PHYSICAL THERAPY CENTER OF MADISON

Active
Other names
Therapeutic Centre
Organization subpart
No

Provider details

NPI number
Authorized official
MISS MERI L GREENWALD REG PHYS THERAPIST (OWNER PRESIDENT)
(203) 245-9293
Entity
Organization

Contact information

Practice address
168 BOSTON POST RD, SUITE 10, MADISON, CT 06443-2163
(203) 245-9293
(203) 245-2522
Mailing address
PO BOX 292, MADISON, CT 06443
(203) 245-9293
(203) 245-2522

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004132
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0036801
ORTHONET
01
06-147926
HMC PPO
01
08-0004132CT07
ANTHEM B/C B/S
CT
01
2V8207
HEALTHNET
01
36801
CIGNA
01
5420450
AETNA
01
6400348
UNITED HEALTHCARE
01
650012292
RAILROAD MEDICARE
01
P819154
OXFORD
Enumeration date
09/12/2006
Last updated
04/20/2008
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