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Organization

SHORELINE PHYSICAL THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JOANNE Z MOORE PT,DHSC,OCS (OWNER)
(860) 739-4497
Entity
Organization

Contact information

Practice address
131 BOSTON POST RD, EAST LYME, CT 06333-1605
(860) 739-4497
(860) 739-7256
Mailing address
131 BOSTON POST RD, EAST LYME, CT 06333-1605
(860) 739-4497
(860) 739-7256

Taxonomy

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

Other

Enumeration date
10/23/2007
Last updated
10/23/2007
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