Organization
TIMOTHY DURANT PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY L DURANT (MSPT)
(860) 430-2344
Entity
Organization
Contact information
Practice address
2928 MAIN ST STE 2, GLASTONBURY, CT 06033-1007
(860) 430-2344
(860) 430-2349
Mailing address
2928 MAIN ST STE 2, GLASTONBURY, CT 06033-1007
(860) 430-2344
(860) 430-2349
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
005973
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0249401
ORTHONET INSURANCE
CT
01
—
574277
AETNA INSURANCE
CT
01
—
7496257
CIGNA PPO ONLY
CT
Enumeration date
03/06/2007
Last updated
11/22/2021
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