Organization
QUINNIPIAC PHYSICAL THERAPY & SPORTS MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID MIKOS D.C., P.T., M.C.T.A. (PRESIDENT)
(203) 239-4274
Entity
Organization
Contact information
Practice address
202 STATE ST, NORTH HAVEN, CT 06473-2207
(203) 239-4274
(203) 239-4290
Mailing address
202 STATE ST, NORTH HAVEN, CT 06473-2207
(203) 239-4274
(203) 239-4290
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004215407
—
CT
Enumeration date
07/26/2005
Last updated
01/13/2016
Update your record
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