Organization
PLYMOUTH REGIONAL REHABILITATION SERVICES LLC
Active
Other names
CHOICE PHYSICAL THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL FORTUNATO (VP FINANCE)
(860) 434-9398
Entity
Organization
Contact information
Practice address
790 LAKE ST, BRISTOL, NH 03222-4548
(603) 744-0275
(603) 744-9378
Mailing address
60 LYME ST, OLD LYME, CT 06371-2332
(860) 434-9398
(860) 434-0739
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
11/30/2010
Last updated
02/09/2011
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