Organization
CHAPIN & HAVLICEK PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM CHAPIN (MEMBER)
(203) 752-7878
Entity
Organization
Contact information
Practice address
46 PRINCE ST, SUITE 402B, NEW HAVEN, CT 06519-1600
(203) 752-7878
(203) 776-4989
Mailing address
46 PRINCE ST, SUITE 402B, NEW HAVEN, CT 06519-1600
(203) 752-7878
(203) 776-4989
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XH1200X
Hand Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0114801
ORTHONET
—
01
—
0578042
AETNA
—
01
—
2V4683
HEALTHNET
—
01
—
2V8124
HEALTHNET 9/1/06
—
01
—
50HAVLICECT01
BCBS
CT
01
—
CG2786
RAILROAD MEDICARE
CT
Enumeration date
10/17/2006
Last updated
01/23/2008
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