Organization
CT SCOLIOSIS AND SPINE REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL FENNELL P.T. (PHYSICAL THERAPIST/OWNER)
(203) 431-0348
Entity
Organization
Contact information
Practice address
871 ETHAN ALLEN HWY, STE 104, RIDGEFIELD, CT 06877-2800
(203) 431-0348
(203) 431-0351
Mailing address
871 ETHAN ALLEN HWY, STE. 104, RIDGEFIELD, CT 06877
(203) 431-0348
(203) 431-0351
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004216
CT
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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