Organization
EASTERN CONNECTICUT REHABILI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL REMI MAILHOT (OWNER EXECUTIVE DIRECTOR)
(860) 889-1948
Entity
Organization
Contact information
Practice address
1666 ROUTE 12, GALES FERRY, CT 06335
(860) 889-1948
(860) 537-5926
Mailing address
PO BOX 425, DAYVILLE, CT 06241-0425
(860) 889-1948
(860) 889-1101
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14104
ORTHNET CIGNA
CT
01
—
A2752221
OXFORD
CT
01
—
OV7727
HEALTHNET
CT
Enumeration date
08/07/2006
Last updated
04/20/2008
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