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Organization

PROFESSIONAL THERAPY CONTRACTING SERVICES OF CT, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHLEEN BRUSH (CREDENTIALING MANAGER)
(718) 819-6805
Entity
Organization

Contact information

Practice address
53 OLD KINGS HWY N, SUITE 103, DARIEN, CT 06820-4735
(203) 656-1922
(203) 307-4601
Mailing address
2142 UTOPIA PKWY, WHITESTONE, NY 11357-4142
(718) 819-6805
(347) 841-9109

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
225X00000X
Occupational Therapist

Other

Enumeration date
02/02/2017
Last updated
02/02/2017
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