Organization
COMPLETE IN-HOME THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH ALEXANDER LYONS MS, RPT (MEMBER)
(860) 573-4923
Entity
Organization
Contact information
Practice address
430 MANSFIELD RD, ASHFORD, CT 06278-1416
(860) 573-4923
Mailing address
430 MANSFIELD RD, ASHFORD, CT 06278-1416
(860) 573-4923
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
LLC 1084683
CT
Other
Enumeration date
11/09/2012
Last updated
04/22/2013
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