Organization
PANACEA PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED MOUSTAFA SHARAF DPT (OWNER)
(860) 726-8163
Entity
Organization
Contact information
Practice address
115 ELM ST STE 208, ENFIELD, CT 06082-3735
(860) 726-8163
Mailing address
115 ELM ST STE 208, ENFIELD, CT 06082-3735
(860) 726-8163
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
09/01/2023
Last updated
09/01/2023
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