Organization
FOCUS PHYSICAL THERAPY & SPORTS MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARCUS DAVID BACON MS, PT (OWNER/PHYSICAL THERAPIST)
(413) 219-7923
Entity
Organization
Contact information
Practice address
1138 FARMINGTON AVE, BERLIN, CT 06037-2301
(860) 829-5511
(860) 829-5577
Mailing address
PO BOX 452, BERLIN, CT 06037-0452
(860) 829-5511
(860) 829-5577
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/28/2007
Last updated
01/21/2020
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