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Organization

PHYSIOCARE PHYSICAL THERAPY AND SPORTS MEDICINE, LLC

Active
Parent organization
PHYSIOCARE PHYSICAL THERAPY AND SPORTS MEDICINE, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
PHYSIOCARE PHYSICAL THERAPY AND SPORTS MEDICINE, LLC
Authorized official
JOHN HOWARD BRADFORD DPT (OWNER)
(860) 949-2561
Entity
Organization

Contact information

Practice address
131 BOSTON POST RD, EAST LYME, CT 06333-1605
(860) 949-2561
Mailing address
11 CENTRE ST STE 7, SALEM, CT 06420-3845
(860) 949-2561
(860) 471-8388

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
225X00000X
Occupational Therapist

Other

Enumeration date
08/29/2019
Last updated
08/29/2019
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