Organization
ELEVATION PERFORMANCE AND THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE GENEST DPT (OWNER, PRIMARY PHYSICAL THERAPIST)
(860) 307-9198
Entity
Organization
Contact information
Practice address
3 SIMM LN, NEWTOWN, CT 06470-2300
(860) 307-9189
Mailing address
PO BOX 666, NEWTOWN, CT 06470-0666
(860) 307-9198
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
011053
CT
Other
Enumeration date
04/16/2018
Last updated
08/07/2024
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