Organization
CT REHABILITATION & SPASTICITY CARE, LLC
Active
Organization
CT REHABILITATION & SPASTICITY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW PATRICK RAYMOND D.O. (MANAGING MEMBER)
(860) 628-3111
Entity
Organization
Contact information
Practice address
340 N MAIN ST, SOUTHINGTON, CT 06489-2529
(860) 628-3111
Mailing address
340 N MAIN ST, SOUTHINGTON, CT 06489-2529
(860) 628-3111
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
000534
CT
Other
Enumeration date
07/27/2011
Last updated
07/27/2011
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