Organization
MCLEAN HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY C. GIBBONS BS , RPT (PHYSICAL THERAPIST)
(860) 658-3700
Entity
Organization
Contact information
Practice address
75 GREAT POND RD, SIMSBURY, CT 06070-1980
(860) 651-3700
Mailing address
131 GREAT POND RD, SIMSBURY, CT 06070-1525
(860) 651-7214
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
004091
CT
Other
Enumeration date
06/13/2007
Last updated
08/22/2020
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