Organization
RIFKIN PHYSICAL THERAPY & LYMPHEDEMA CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARMELITA RIFKIN MS PT CLT LANA (OWNER)
(203) 758-6569
Entity
Organization
Contact information
Practice address
93 WATERBURY RD, PROSPECT, CT 06712
(203) 758-6569
(203) 758-0443
Mailing address
21 HOLLEY LANE, PROSPECT, CT 06712
(203) 758-6569
(203) 758-0443
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
695102
UNITED HEALTHCARE
—
01
—
DC5171
RAILROAD MEDICARE
—
Enumeration date
11/27/2006
Last updated
03/15/2013
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