Organization
REFORM PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISA NICOLE RAGUSO PT, DPT (OWNER/PHYSICAL THERAPIST)
(347) 266-6373
Entity
Organization
Contact information
Practice address
991 POST RD E, WESTPORT, CT 06880-5363
(347) 377-0335
Mailing address
63 REYNOLDS DR, FAIRFIELD, CT 06824-4600
(347) 266-6373
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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