Organization
KINETIC REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL SHEEHAN M.D. (PRESIDENT)
(203) 336-6874
Entity
Organization
Contact information
Practice address
1450 BARNUM AVE, SUITE 205, BRIDGEPORT, CT 06610-3239
(203) 336-6874
(203) 336-6875
Mailing address
1450 BARNUM AVE, SUITE 205, BRIDGEPORT, CT 06610-3239
(203) 336-6874
(203) 336-6875
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
12/12/2007
Last updated
12/12/2007
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